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December 1979

Management of the Eye Socket in Cancer of the Paranasal Sinuses

Author Affiliations

From the Head and Neck Service, St Vincent's Hospital and Medical Center, Columbia-Presbyterian Medical Center and the Pack Medical Foundation, New York.

Arch Otolaryngol. 1979;105(12):702-705. doi:10.1001/archotol.1979.00790240016004

• There are several basic techniques for obtaining acceptable closure of the orbital defect following exenteration. The approach to reconstructing a socket in the method chosen should be the one that gives the best cosmetic result while not compromising the surgical excision and the possibility of cure. Few surgeons have attempted to correct the deformity of orbital exenteration so that an artificial eye can be worn. We have found that approximately 20% of those patients undergoing radical ablation of the orbit qualify for simultaneous reconstruction of the eye socket. The technique of a cheek-eyelidconjunctiva flap allows for immediate reconstruction of the eye socket and the fitting of a prosthesis.

(Arch Otolaryngol 105:702-705, 1979)

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