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Journals / MN Oftalmoloji / 2015 / Cilt: 22 - Sayı: 1

Demographics Indications and Surgical Techniques in Exenterated Patients

Ekzenterasyon Uygulanan Olgularda Demografi Endikasyonlar ve Cerrahi Teknikler

İbrahim Bülent BUTTANRI
Şafak KARSLIOĞLU
Müslime AKBABA
Didem SERİN
Korhan FAZIL
Pages
49–53
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Exenteration can be avoided by early and adequate surgical treatment.

📌 3 Key Takeaways

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Objective & Hypothesis:Aim: To evaluate demographics, indications and surgical techniques in exenterated patients.
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Key Findings & Data:Material and Method: Patients who underwent orbital exenteration between 1998 and 2010 were included in the study.
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Conclusion & Impact:Exenteration can be avoided by early and adequate surgical treatment.
🔬Design:Research Article
📍Scope:2010 Verileri
⚙️Variables:Domain Parameters

Abstract

Aim: To evaluate demographics, indications and surgical techniques in exenterated patients. Material and Method: Patients who underwent orbital exenteration between 1998 and 2010 were included in the study. Age, sex, histopathological diagnosis, previous recurrence, surgical and reconstruction techniques, and cosmetic outcomes were evaluated. Results: Twenty patients underwent orbital exenteration. The mean age of the patients was 61 (between 12-93 years). Fourteen of the patients (70%) were male and 6 (30%) were female. Left eye was exenterated in 14 (70%) and right eye in 6 (30%) patients. Eight (40%) patients had a history of unsuccessful tumor excision surgery prior to exenteration. Basal cell carcinoma was the most frequent indication (40%). Twelve patients (60%) underwent total or extended orbital exenteration, and 8 patients (40%) underwent subtotal exenteration. Sinusectomy was combined with exenteration in 2 (10%) patients. The exenterated socket was left to spontaneous granulation in 11 (65%) patients. Muscle transposition flaps were used for primary surgical reconstruction in 5 (25%) patients, and partial-thickness skin grafts in 4 (20%) patients. Sino-orbital fistula in 2 cases (10%) was the main complication in this group of patients. Midline forehead flaps were used for the management of sino-orbital fistulae. Discussion: Previous insufficient or unsuccessful tumor excision surgeries and late presentation are the most frequent reasons that result in exenteration. Exenteration can be avoided by early and adequate surgical treatment.

Özet

Amaç: Orbita ekzenterasyonu uygulanan olgularda demografi, endikasyonlar ve cerrahi teknikleri incelemek.Gereç ve Yöntem: 1998-2010 yılları arasında orbita ekzenterasyonu uygulanan hastalar çalışma kapsamına alındı. Yaş, cinsiyet, histopatolojik tanılar, önceki nüksler, uygulanan cerrahi ve rekonstrüksiyon teknikleri ve kozmetik sonuçlar irdelendi.Bulgular: Yirmi olguya orbita ekzenterasyonu uygulanmıştı. Hastaların ortalama yaşı 61 (12-93 arası) idi. Hastaların 14'ü (%70) erkek ve 6'sı(%30) kadın idi. Ondört (%70) olguda sol ve 6 (%30) olguda sağ göz ekzentere edilmişti. Sekiz (%40) olguda ekzenterasyon öncesinde başarısız tümörcerrahisi hikayesi mevcuttu. Bazal hücreli kanser en sık nedendi (%40). Oniki olguya total ya da genişletilmiş ekzenterasyon, 8 olguya subtotal ekzenterasyon uygulandı. Sinüsektomi 2 olguda ekzenterasyona ilave edilmişti (%10). Ekzentere soket 11 (%65) olguda spontan granülasyona bırakıldı. Beşolguda ekzenterasyon ile aynı seansta kas transpozisyon flepleri, 4 olguda parsiyel kalınlıkta cilt greftleri kullanıldı. İki olguda gelişen sinoorbital fistül en önemli komplikasyondu. Bu 2 olguda orta hat alın flepleri ile fistüller kapatıldı.Sonuç: Yetersiz ve bilinçsiz tümör cerrahisi uygulamaları ve geç başvuru, olguları ekzenterasyona götüren en sık nedenlerdir. Erken ve uygun cerrahi yöntemlerle ekzenterasyon endikasyonları azaltılabilir.

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Cite This Article

BUTTANRI, İ. B., KARSLIOĞLU, Ş., AKBABA, M., SERİN, D., FAZIL, K. (2015). Demographics Indications and Surgical Techniques in Exenterated Patients. MN Oftalmoloji, Cilt: 22 - Sayı: 1, 49–53. https://ajindex.com/articles/296747

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