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Prosthetic rehabilitation of surgically treated orbital defects - evisceration, enucleation, and exenteration: A case series

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ABSTRACT

The rehabilitation of a patient who has suffered the psychological trauma due to loss of an eye requires a prosthesis that will provide the optimum cosmetic and functional result. The mode of rehabilitation varies based on the type of defect and surgical approach being adopted. A case series of prosthetic rehabilitation of three types of orbital defects - evisceration, enucleation and exenteration have been reported in this article. The clinical relevance of surgical approaches highlights the preservation of remaining anatomic structures creating a negative space or concavity to aid in future prosthetic rehabilitation. A multidisciplinary management and team approach is essential in providing esthetics and to regain the confidence. Follow-up care for the patient is mandatory.

No MeSH data available.


Exenterated defect
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Figure 7: Exenterated defect

Mentions: This 8-year-old boy reported to our department in 2005 with retinoblastoma of the left eye. The surgical resection involved a radical procedure where in the entire orbital contents; eyelid and surrounding tissue were removed [Figure 7]. After completing the surgical procedures, the patient was referred to the maxillofacial prosthetic clinic for further management. “Orbital exenteration is a radical procedure consisting of removal of the orbital contents, including orbital fat, conjunctival sac, globe, and part or all of the eyelids. This procedure is indicated in cases of potentially life-threatening malignancies, tumor, trauma, or acid burns or relentlessly progressive conditions unresponsive to other treatments.”[7] Orbital exenteration is classified as total exenteration when all orbital contents including the globe and periorbita are removed and as subtotal when orbital tissue is removed partially with sacrifice of the eye. Extended exenteration are defined as cases that include excision of adjacent bone.[1]


Prosthetic rehabilitation of surgically treated orbital defects - evisceration, enucleation, and exenteration: A case series
Exenterated defect
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4837766&req=5

Figure 7: Exenterated defect
Mentions: This 8-year-old boy reported to our department in 2005 with retinoblastoma of the left eye. The surgical resection involved a radical procedure where in the entire orbital contents; eyelid and surrounding tissue were removed [Figure 7]. After completing the surgical procedures, the patient was referred to the maxillofacial prosthetic clinic for further management. “Orbital exenteration is a radical procedure consisting of removal of the orbital contents, including orbital fat, conjunctival sac, globe, and part or all of the eyelids. This procedure is indicated in cases of potentially life-threatening malignancies, tumor, trauma, or acid burns or relentlessly progressive conditions unresponsive to other treatments.”[7] Orbital exenteration is classified as total exenteration when all orbital contents including the globe and periorbita are removed and as subtotal when orbital tissue is removed partially with sacrifice of the eye. Extended exenteration are defined as cases that include excision of adjacent bone.[1]

View Article: PubMed Central - PubMed

ABSTRACT

The rehabilitation of a patient who has suffered the psychological trauma due to loss of an eye requires a prosthesis that will provide the optimum cosmetic and functional result. The mode of rehabilitation varies based on the type of defect and surgical approach being adopted. A case series of prosthetic rehabilitation of three types of orbital defects - evisceration, enucleation and exenteration have been reported in this article. The clinical relevance of surgical approaches highlights the preservation of remaining anatomic structures creating a negative space or concavity to aid in future prosthetic rehabilitation. A multidisciplinary management and team approach is essential in providing esthetics and to regain the confidence. Follow-up care for the patient is mandatory.

No MeSH data available.