A multidisciplinary approach to tumours involving the orbit: orbital re-construction, a 3-dimensional concept

Radical tumour removal in the region of the anterior skull base with involvement of the orbit requires not only good exposure but also acceptable reconstruction with good cosmesis, no visible scars and no injury to the eye. The possible approaches, which should be flexible and adapted to the location and extent of the pathology and the appropriate methods of reconstruction, are illustrated by four patients. The relevant literature is reviewed. Emphasis on the need for a 3-dimensional concept in the reconstruction and the importance of a multi disciplinary team is stressed.