Orbital Exenteration with Ethmoidectomy, Suprastructural Maxillectomy and Reconstruction with Free Transverses Rectus Abdominus Myocutaneous (TRAM) Flap for Re-recurrent Basal Cell Carcinoma of Eyelid: Case Report.
Journal Title: Journal of Medical Science And clinical Research - Year 2014, Vol 2, Issue 3
Abstract
Basal Cell Carcinoma (BCC) frequently involves sun exposed sites of the face such as the nose, eyelids and peri-orbital tissue. An adequate surgical excision is still the gold standard for treatment. Deep infiltration and involvement of the orbit by periocular BCC is rare but may be clinically silent and thus should be looked for on imaging especially in recurrent and high grade variants. Despite the fact that orbital exenteration is one of the most socially distressing facial operations, it may still be necessary. The repair of a radically exenterated orbit is a difficult problem for surgeons to resolve. We present the case of a locally advanced re-recurrent periocular BCC treated with a suprastructural maxillectomy combined with an orbital exenteration and ethmoidectomy; reconstruction with a free Transversus Rectus Abdominous Myocutaneous flap and adjuvant post-operative radiotherapy
Authors and Affiliations
Jayesh Gori
Keywords
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