Orbital exenteration is a radical and disfiguring operation. It is still under debate the absence of correlation between the term describing the resulting orbital defect and the type of reconstruction. Authors' goal was to propose a consistent and uniform terminology for Orbital Exenteration surgery in anticipation of patients' tailored management. Twenty-five patients who underwent orbital exenteration between 2014 and 2020 were reviewed. A parallel comprehensive literature review was carried on. Five different types of orbital exenteration where outlined. Multiple reconstructive procedures were enclosed. An algorithm for orbital reconstruction was proposed based on anatomic boundaries restoration. Eyelid removal was first considered as an independent reconstructive factor, and both orbital roof and floor were indicated as independent reconstructive goals, which deserve different defect classification. In our opinion, this algorithm could be a useful tool for patient counseling and treatment selection, which might allow a more tailored patient care protocol.

Orbital Extenteration Defects: Ablative and Reconstructive Flowchart Proposal / Giuditta Mannelli, Lara V Comini, Antonio Marzola, Yary Volpe, Cinzia Mazzini, Nicola Santoro, Luca Delcroix, Gabriele Molteni, Giuseppe Spinelli. - In: THE JOURNAL OF CRANIOFACIAL SURGERY. - ISSN 1049-2275. - ELETTRONICO. - (2022), pp. 0-0. [10.1097/SCS.0000000000009052]

Orbital Extenteration Defects: Ablative and Reconstructive Flowchart Proposal.

Giuditta Mannelli
;
Antonio Marzola;Yary Volpe
Membro del Collaboration Group
;
Cinzia Mazzini;Nicola Santoro;Giuseppe Spinelli
2022

Abstract

Orbital exenteration is a radical and disfiguring operation. It is still under debate the absence of correlation between the term describing the resulting orbital defect and the type of reconstruction. Authors' goal was to propose a consistent and uniform terminology for Orbital Exenteration surgery in anticipation of patients' tailored management. Twenty-five patients who underwent orbital exenteration between 2014 and 2020 were reviewed. A parallel comprehensive literature review was carried on. Five different types of orbital exenteration where outlined. Multiple reconstructive procedures were enclosed. An algorithm for orbital reconstruction was proposed based on anatomic boundaries restoration. Eyelid removal was first considered as an independent reconstructive factor, and both orbital roof and floor were indicated as independent reconstructive goals, which deserve different defect classification. In our opinion, this algorithm could be a useful tool for patient counseling and treatment selection, which might allow a more tailored patient care protocol.
2022
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0
Giuditta Mannelli, Lara V Comini, Antonio Marzola, Yary Volpe, Cinzia Mazzini, Nicola Santoro, Luca Delcroix, Gabriele Molteni, Giuseppe Spinelli
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Utilizza questo identificatore per citare o creare un link a questa risorsa: https://hdl.handle.net/2158/1284254
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