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Total eyelid complex sparing orbital exenteration for mucormycosis.

Pawan Agarwal1, D Sharma2

  • 1Professor and In Charge Plastic Surgery Unit, Department of Surgery, NSCB Government Medical College, Jabalpur, India.

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|September 6, 2021
PubMed
Summary

We describe a novel orbital exenteration technique that preserves the entire eyelid complex. This approach may improve healing and functional, cosmetic rehabilitation in patients with necrotizing diseases like mucormycosis.

Keywords:
Eyelid complexcosmesisfunctionalmucormycosisorbital exenteration

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Area of Science:

  • Ophthalmology
  • Surgical Oncology
  • Reconstructive Surgery

Background:

  • Orbital exenteration is a major surgery for orbital tumors or infections, typically involving eyelid removal.
  • Preserving eyelids is challenging due to exposure needs and risk of devascularization.

Purpose of the Study:

  • To present a modified orbital exenteration technique that preserves the complete eyelid complex.
  • To evaluate the potential benefits of this approach for patient recovery and rehabilitation.

Main Methods:

  • Description of a surgical technique for orbital exenteration that spares the total eyelid complex.
  • Application in cases of necrotizing disease, specifically mucormycosis.
  • Focus on maintaining adequate surgical exposure without compromising eyelid viability.

Main Results:

  • Successful execution of orbital exenteration with complete preservation of the eyelid complex.
  • Demonstrated feasibility in necrotizing disease (mucormycosis) without compromising exposure.
  • Anticipated benefits include accelerated healing and improved functional and cosmetic outcomes.

Conclusions:

  • Total eyelid complex-preserving orbital exenteration is a viable surgical option.
  • This technique offers potential advantages in healing and rehabilitation compared to traditional methods.
  • Further studies are warranted to fully assess long-term functional and cosmetic results.