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Review
August 2013

Surgical Management of Tumors Involving the Orbit

Author Affiliations
  • 1Department of Otolaryngology–Head and Neck and Maxillofacial Surgery, Tel-Aviv Sourasky Medical Center, Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel
JAMA Otolaryngol Head Neck Surg. 2013;139(8):841-846. doi:10.1001/jamaoto.2013.3878
Abstract

Importance  Surgical treatment of orbital tumors is a complex task that requires thorough preparation and precise planning. Since a large variety of tumors of different origins, anatomical extents, and histologic subtypes affect the globe, no “1-size-fits-all” approach can be offered.

Objective  To describe an integrative approach for the optimal surgical management of patients with orbital tumors based on a review of the literature and on our own experience at a high-volume cancer center.

Evidence Review  Peer-reviewed English-language literature and a single-center cohort of patients undergoing orbital exenteration with eye sparing, reconstruction, and preservation of orbital function.

Findings  Surgical treatment of orbital tumors is a complex task that requires thorough preparation and precise planning that would be aided by an algorithm.

Conclusions and Relevance  We offer an algorithm that summarizes our approach toward the 2 main decision points of orbital surgery: extent of resection and method of reconstruction.

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