Role of temporalis musculofascial transposition for obliteration of the exenterated orbit

An exenterated orbit left as such tends to encrust, become odorous and remains a potential source of infection besides looking unsightly. To overcome these problems we transposed the temporalis musculofascial complex through a lateral orbitotomy for primary and secondary oblit-eration of the orbit in two cases each. In each patient the orbit was exenterated to ablate a neoplasm. In all cases the procedure yielded a problem-free orbit with good cosmesis. The temporalis musculofascial transposition complex is a simple means of obliterating the orbit particularly in the Indian context wherein prosthetic orbital devices are often unavailable.