Purpose:
To present the clinical properties of our patients with malignant tumors demonstrating orbital extensions and to discuss the results of their surgical management with orbital exenteration.
Material and Methods:
Five cases which were managed by orbital exenteration at our clinic between 1999 and 2006 were included in this study. Four cases were male, and 1 case was female. Age of the patients ranged between 50 to 72 years with a mean of 66.5 years. Two cases had squamous cell carcinoma, one had basal cell carcinoma, one had carcinoma of paranasal sinus and one had uveal malign melanoma. All patients had massive orbital invasion. Exenteration of four cases were performed by eyelid skin–sparing technique and one case was allowed to heal by spontaneous granulation. Cases were followed –up with a period of 2 to 6 years.
Results:
Sistemic metastasis and local recurrence were noted in the case with uveal malignant melanoma.
Conclusion:
Orbital malignant tumors have fatal risks and exenteration which is the choice of treatment for these lesions result with many cosmetic complications. Early diagnosis of the lesions localized in intraocular or extraocular area is very important. Especially, cases with unilateral glaucoma should be examined for an underlying malignancy of uveal tissue.
Keywords: Exenteration, orbita, tumor