Management of neglected periorbital squamous cell carcinoma requiring orbital exenteration

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dc.authorid0000-0002-3060-6420en_US
dc.authorid0000-0003-2066-7454en_US
dc.contributor.authorKarabekmez, Furkan Erol
dc.contributor.authorSelimoğlu, Muhammed Nebil
dc.contributor.authorDuymaz, Ahmet
dc.contributor.authorŞen Karameşe, Mehtap
dc.contributor.authorKeskin, Mustafa
dc.date.accessioned2021-06-23T19:36:00Z
dc.date.available2021-06-23T19:36:00Z
dc.date.issued2014
dc.departmentBAİBÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractWith its perineural invasion capacity, periorbital squamous cell carcinoma (SCC) may easily invade orbital structures. When SCC invades the orbital musculature or the orbit itself, orbital exenteration, one of the most disfiguring operations on the face, is required. We reviewed elderly patients with periorbitally localized SCC requiring orbital exenteration to evaluate reconstructive options and survival. A chart review of patients' records was conducted to identify all patients older than 65 years with periorbital malignancy requiring orbital exenteration from 2006 to 2011. A total of 9 patients who met the criteria were included in the study. The mean age at surgery was 77 +/- 6.7 years, and the mean defect size was 74.2 cm(2). All patients had a similar history of late presentation to a doctor because of hesitation to undergo surgery. The temporoparietal fascia flap, galeal flap, free gracilis flap, and free vastus lateralis musculocutaneous flap were the treatment options for reconstruction of the defects. All patients died during follow-up, and the mean survival was 15.7 months (range, 6-36 months). Only 2 of them had relapse before the death. Our small series suggest that elderly patients with periorbital SCC requiring orbital exenteration may not have enough survival to relapse because of the death from different causes without relapse or any sign of spreading cancer. Also, prolonged surgery with free flap reconstruction may increase the risk of postoperative intensive care unit requirement. Because local flaps may work very well for reconstructing the orbital exenteration defects, free flap option should be kept for selected cases.en_US
dc.identifier.doi10.1097/SCS.0000000000000333
dc.identifier.endpage734en_US
dc.identifier.issn1049-2275
dc.identifier.issn1536-3732
dc.identifier.issue3en_US
dc.identifier.pmid24481161en_US
dc.identifier.scopus2-s2.0-84900872420en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage729en_US
dc.identifier.urihttps://doi.org/10.1097/SCS.0000000000000333
dc.identifier.urihttps://hdl.handle.net/20.500.12491/7910
dc.identifier.volume25en_US
dc.identifier.wosWOS:000337098200039en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorKarabekmez, Furkan Erol
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofJournal Of Craniofacial Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectPeriorbital Tumoren_US
dc.subjectSquamous Cell Carcinomaen_US
dc.subjectOrbital Exenterationen_US
dc.titleManagement of neglected periorbital squamous cell carcinoma requiring orbital exenterationen_US
dc.typeArticleen_US

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