Critical analysis of methods of reconstruction of exenterated orbits
Reconstructive procedures were used on 14 patients who had undergone orbital exenteration and radiotherapy for malignant tumours. All patients were tumour free after a follow-up of between 5 and 18 years. Reconstruction was carried out in 3 stages. In the first operation the orbit was filled, in the...
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| Veröffentlicht in: | British journal of plastic surgery 1992-10, Vol.45 (7), p.523-528 |
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| container_title | British journal of plastic surgery |
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| creator | Marques, Americo Brenda, Elizabeth Magrin, Jose Kowalski, Luis Paulo Andrews, Jorge M. |
| description | Reconstructive procedures were used on 14 patients who had undergone orbital exenteration and radiotherapy for malignant tumours. All patients were tumour free after a follow-up of between 5 and 18 years. Reconstruction was carried out in 3 stages. In the first operation the orbit was filled, in the second the orbital rims and eyelids were shaped, and in the third a cavity for a static eye prosthesis was created. Critical assessment of results showed that the first stage alone produced a marked improvement in appearance and occluded existing fistulae. The subsequent procedures improved aesthetic results further. Difficulties were encountered from retraction of the tissues and insufficient tissue mobility. |
| doi_str_mv | 10.1016/0007-1226(92)90147-P |
| format | Article |
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All patients were tumour free after a follow-up of between 5 and 18 years. Reconstruction was carried out in 3 stages. In the first operation the orbit was filled, in the second the orbital rims and eyelids were shaped, and in the third a cavity for a static eye prosthesis was created. Critical assessment of results showed that the first stage alone produced a marked improvement in appearance and occluded existing fistulae. The subsequent procedures improved aesthetic results further. Difficulties were encountered from retraction of the tissues and insufficient tissue mobility.</description><identifier>ISSN: 0007-1226</identifier><identifier>EISSN: 1465-3087</identifier><identifier>DOI: 10.1016/0007-1226(92)90147-P</identifier><identifier>PMID: 1446196</identifier><identifier>CODEN: BJPSAZ</identifier><language>eng</language><publisher>Oxford: Elsevier Ltd</publisher><subject>Biological and medical sciences ; Child ; Child, Preschool ; Eye Neoplasms - radiotherapy ; Eye Neoplasms - surgery ; Eye, Artificial ; Eyebrows - surgery ; Female ; Humans ; Infant ; Male ; Medical sciences ; Orbit - surgery ; Orbit Evisceration ; Retinoblastoma - radiotherapy ; Retinoblastoma - surgery ; Rhabdomyosarcoma - radiotherapy ; Rhabdomyosarcoma - surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. 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All patients were tumour free after a follow-up of between 5 and 18 years. Reconstruction was carried out in 3 stages. In the first operation the orbit was filled, in the second the orbital rims and eyelids were shaped, and in the third a cavity for a static eye prosthesis was created. Critical assessment of results showed that the first stage alone produced a marked improvement in appearance and occluded existing fistulae. The subsequent procedures improved aesthetic results further. Difficulties were encountered from retraction of the tissues and insufficient tissue mobility.</description><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Eye Neoplasms - radiotherapy</subject><subject>Eye Neoplasms - surgery</subject><subject>Eye, Artificial</subject><subject>Eyebrows - surgery</subject><subject>Female</subject><subject>Humans</subject><subject>Infant</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Orbit - surgery</subject><subject>Orbit Evisceration</subject><subject>Retinoblastoma - radiotherapy</subject><subject>Retinoblastoma - surgery</subject><subject>Rhabdomyosarcoma - radiotherapy</subject><subject>Rhabdomyosarcoma - surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. 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Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the eye and orbit</topic><topic>Surgical Flaps - methods</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Marques, Americo</creatorcontrib><creatorcontrib>Brenda, Elizabeth</creatorcontrib><creatorcontrib>Magrin, Jose</creatorcontrib><creatorcontrib>Kowalski, Luis Paulo</creatorcontrib><creatorcontrib>Andrews, Jorge M.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>British journal of plastic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Marques, Americo</au><au>Brenda, Elizabeth</au><au>Magrin, Jose</au><au>Kowalski, Luis Paulo</au><au>Andrews, Jorge M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Critical analysis of methods of reconstruction of exenterated orbits</atitle><jtitle>British journal of plastic surgery</jtitle><addtitle>Br J Plast Surg</addtitle><date>1992-10-01</date><risdate>1992</risdate><volume>45</volume><issue>7</issue><spage>523</spage><epage>528</epage><pages>523-528</pages><issn>0007-1226</issn><eissn>1465-3087</eissn><coden>BJPSAZ</coden><abstract>Reconstructive procedures were used on 14 patients who had undergone orbital exenteration and radiotherapy for malignant tumours. 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| language | eng |
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| subjects | Biological and medical sciences Child Child, Preschool Eye Neoplasms - radiotherapy Eye Neoplasms - surgery Eye, Artificial Eyebrows - surgery Female Humans Infant Male Medical sciences Orbit - surgery Orbit Evisceration Retinoblastoma - radiotherapy Retinoblastoma - surgery Rhabdomyosarcoma - radiotherapy Rhabdomyosarcoma - surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the eye and orbit Surgical Flaps - methods Time Factors |
| title | Critical analysis of methods of reconstruction of exenterated orbits |
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