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Orbital Exenteration

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Smith and Nesi’s Ophthalmic Plastic and Reconstructive Surgery

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Abstract

Orbital exenteration is defined as the surgical excision of the ocular globe, orbital soft tissues, and ocular adnexa. Total exenteration entails removing the orbital contents in their entirety, whereas a subtotal exenteration spares some portion of the posterior orbital soft tissues. In extended exenteration, removal of bone and/or adjacent structures is also performed. Because the operation results in permanent vision loss and significant facial deformity, it is usually reserved for the treatment of life-threatening or progressively destructive disease processes, such as high-grade or advanced malignancies or invasive infections. In cases where exenteration is contemplated, consideration should be given to management alternatives, including medical therapy and chemotherapy, radiation therapy, or observation.

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Authors and Affiliations

  1. Ophthalmic Plastic and Reconstructive Surgery, The Ohio State University Wexner Medical Center, Department of Ophthalmology and Visual Science, Columbus, OH, USA

    Raymond I. Cho

  2. Consultants in Ophthalmic and Facial Plastic Surgery, Southfield, MI, USA

    Alon Kahana

Authors
  1. Raymond I. Cho
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  2. Alon Kahana
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Correspondence to Alon Kahana .

Editor information

Editors and Affiliations

  1. Oculofacial Plastic Surgeons of Georgia, Suwanee, GA, USA

    J. Javier Servat

  2. Consultants in Ophthalmic and Facial Plastic Surgery, P.C., Southfield, MI, USA

    Evan H. Black

  3. Beaumont Eye Institute, William Beaumont School of Medicine of Oakland University, Rochester, MI, USA

    Frank A. Nesi

  4. Consultants in Ophthalmic and Facial Plastic Surgery, P.C., Southfield, MI, USA

    Geoffrey J. Gladstone

  5. San Antonio Military Medical Center/Wilford Hall Ambulatory Surgery Center, Department of Ophthalmology and Oculoplastic Surgery, San Antonio, TX, USA

    Christopher J. Calvano

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Cho, R.I., Kahana, A. (2021). Orbital Exenteration. In: Servat, J.J., Black, E.H., Nesi, F.A., Gladstone, G.J., Calvano, C.J. (eds) Smith and Nesi’s Ophthalmic Plastic and Reconstructive Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-41720-8_53

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  • DOI: https://doi.org/10.1007/978-3-030-41720-8_53

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