Management of the eye socket in cancer of the paranasal sinuses

Area of Science:

• Ophthalmology
• Plastic Surgery
• Oncology

Background:

• Orbital exenteration, a radical surgical procedure, often results in significant orbital defects.
• Achieving acceptable cosmetic closure and restoring the ability to wear a prosthesis are key challenges post-exenteration.

Purpose of the Study:

• To evaluate the efficacy of a specific surgical technique for orbital defect reconstruction following exenteration.
• To determine the feasibility and cosmetic outcomes of simultaneous eye socket reconstruction for prosthesis fitting.

Main Methods:

• The study focuses on the cheek-eyelid-conjunctiva flap technique for orbital reconstruction.
• This method aims for immediate reconstruction of the eye socket after radical orbital ablation.

Main Results:

• Approximately 20% of patients undergoing radical orbital ablation are candidates for simultaneous reconstruction.
• The cheek-eyelid-conjunctiva flap technique facilitates immediate eye socket reconstruction and subsequent prosthesis fitting.

Conclusions:

• The cheek-eyelid-conjunctiva flap is an effective method for reconstructing orbital defects after exenteration.
• This technique offers a viable solution for improving cosmetic results and enabling prosthesis use in select patients.