Skip to main content
SpringerLink
Log in
Book cover

Oculofacial, Orbital, and Lacrimal Surgery pp 665–675Cite as

Orbital Exenteration

  • Chapter
  • First Online:

  • 1371 Accesses

Abstract

Orbital exenteration is a surgery in which the globe and the surrounding orbital contents are surgically removed due to malignancy or severe orbital infection. Over the years, this surgery has evolved to allow varying degrees of tissue excision, with modern techniques permitting more conservative surgical approaches to spare tissue removal when possible and more extensive exenterations involving removal of orbital bone when necessary. Despite the progress in technique, orbital exenteration remains a surgery of last resort after all medical and other therapeutic options have been exhausted. Orbital exenteration may be broadly divided into four techniques: standard or total exenteration, eyelid-sparing orbital exenteration, anterior or subtotal orbital exenteration, and extended exenteration.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD   169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Bartisch G. Ophthalmodoulcia. Dresden. 1583;3:208.

    Google Scholar 

  2. Nassab RS, Thomas SS, Murray D. Orbital exenteration for advanced periorbital skin cancers: 20 years experience. J Plast Reconstr Aesthet Surg. 2007;60(10):1103–9.

    Article  Google Scholar 

  3. Bartley GB, Garrity JA, Waller RR, et al. Orbital exenteration at the Mayo Clinic. 1967–1986. Ophthalmology. 1989;96(4):468–73.

    Article  CAS  Google Scholar 

  4. Rahman I, Cook AE, Leatherbarrow B. Orbital exenteration: a 13 year Manchester experience. Br J Ophthalmol. 2005;89(10):1335–40.

    Article  CAS  Google Scholar 

  5. Sekulic A, Migden MR, Oro AE, et al. Efficacy and safety of vismodegib in advanced basal-cell carcinoma. N Engl J Med. 2012;366(23):2171–9.

    Article  CAS  Google Scholar 

  6. Hargrove RN, Wesley RE, Klippenstein KA, et al. Indications for orbital exenteration in mucormycosis. Ophthal Plast Reconstr Surg. 2006;22(4):286–91.

    Article  Google Scholar 

  7. Pelton RW, Peterson EA, Patel BC, Davis K. Successful treatment of rhino-orbital mucormycosis without exenteration: the use of multiple treatment modalities. Ophthal Plast Reconstr Surg. 2001;17(1):62–6.

    Article  CAS  Google Scholar 

  8. Athavale DD, Jones R, O’Donnell BA, et al. Non-exenteration management of sino-orbital fungal disease. Ophthal Plast Reconstr Surg. 2017;33(6):426–9.

    Article  Google Scholar 

  9. Shield DR, Servat J, Paul S, et al. Periocular necrotizing fasciitis causing blindness. JAMA Ophthalmol. 2013;131(9):1225–7.

    Article  Google Scholar 

  10. Goldberg RA, Kim JW, Shorr N. Orbital exenteration: results of an individualized approach. Ophthal Plast Reconstr Surg. 2003;19:229–36.

    Article  Google Scholar 

  11. Ben Simon GJ, Schwarcz RM, Douglas R, et al. Orbital exenteration: one size does not fit all. Am J Ophthalmol. 2005;139(1):11–7.

    Article  Google Scholar 

  12. Shields JA, Shields CL, Suvarnamani C, et al. Orbital exenteration with eyelid sparing: indications, technique, and results. Ophthalmic Surg. 1991;22(5):292–7.

    CAS  PubMed  Google Scholar 

  13. Mohr C, Esser J. Orbital exenteration: surgical and reconstructive strategies. Graefes Arch Clin Exp Ophthalmol. 1997;235:288–95.

    Article  CAS  Google Scholar 

  14. Putterman AM. Orbital exenteration with spontaneous granulation. Arch Ophthalmol. 1986;104(1):139–40.

    Article  CAS  Google Scholar 

  15. Lowry JC, Bartley GB, Garrity JA. The role of second-intention healing in periocular reconstruction. Ophthal Plast Reconstr Surg. 1997;13(3):174–88.

    Article  CAS  Google Scholar 

  16. Rafailov L, Turbin RE, Langer PD. Use of bilayer matrix wound dressing in the exenterated socket. Orbit. 2017;36(6):397–400.

    Article  Google Scholar 

  17. Hanasono MM, Lee JC, Yang JS, et al. An algorithmic approach to reconstructive surgery and prosthetic rehabilitation after orbital exenteration. Plast Reconstr Surg. 2009;123(1):98–105.

    Article  CAS  Google Scholar 

  18. Naquin HA. Orbital reconstruction utilizing temporalis muscle. Am J Ophthalmol. 1956;41(3):519–21.

    Article  CAS  Google Scholar 

  19. Taylor A, Roberts F, Kemp EG. Orbital exenteration – a retrospective study over an 11 year period analyzing all cases from a single unit. Orbit. 2006;25(3):185–93.

    Article  CAS  Google Scholar 

  20. Ali MJ, Pujari A, Dave TV, et al. Clinicopathological profile of orbital exenteration: 14 years of experince from a tertiary eye care center in South India. Int Ophthalmol. 2016;36(2):253–8.

    Article  Google Scholar 

Download references

Declaration of Interest

The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.

Author information

Authors and Affiliations

  1. Institute of Ophthalmology and Visual Science, Rutgers New Jersey Medical School, Newark, NJ, USA

    Leon Rafailov, Roger E. Turbin & Paul D. Langer

Authors
  1. Leon Rafailov
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Roger E. Turbin
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Paul D. Langer
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Paul D. Langer .

Editor information

Editors and Affiliations

  1. Eyelid and Facial Plastic and Reconstructive Surgery and MediSpa, Diseases and Surgery of the Orbit & Lacrimal System Neuro-ophthalmology, Glenview/Chicago, IL, USA

    Adam J. Cohen

  2. Oculoplastics, Orbital, and Cosmetic Facial Surgery, University of Wisconsin, Madison Department of Ophthalmology and Visual Sciences, Madison, WI, USA

    Cat Nguyen Burkat

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Rafailov, L., Turbin, R.E., Langer, P.D. (2019). Orbital Exenteration. In: Cohen, A., Burkat, C. (eds) Oculofacial, Orbital, and Lacrimal Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-14092-2_60

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-14092-2_60

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-14090-8

  • Online ISBN: 978-3-030-14092-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation