Ackuaku-Dogbe E
Department of Surgery, Eye Unit, University of Ghana Medical School, P. O. Box 4236, Accra, Ghana.
Ghana Med J. 2011 Jun;45(2):45-9. doi: 10.4314/gmj.v45i2.68927.
Orbital exenteration (OE) is a disfiguring procedure which typically involves removal of the entire contents of the orbit including the periorbita, appendages, eyelids and, sometimes, a varying amount of surrounding skin and bone. It results in devastating functional, aesthetic and psychological losses.
This study reports an experience of OE in a Teaching Hospital in Accra Ghana.
The records of all patients who underwent OE between November 2005 and October 2009 were reviewed retrospectively. These were cases seen at the orbit and oculoplastic clinic of the eye unit.
A total of 25 patients underwent OE. Nineteen (76%) of these were for invasive orbital squamous cell carcinomas and six (24%) were for other cases. Only one patient had OE for a benign condition (orbital haemangioma). Four patients had lid sparing procedures. One of these was for a patient with extensive ocular surface squamous cell carcinoma. Five patients had recurrent tumours. Among those patients with squamous cell carcinoma, seven had previous procedures, sometimes multiple before reporting to our clinic.
Orbital exenterations in developing countries are mostly for neglected periorbital and ocular surface malignancies. Educating patients to seek medical attention as soon as they notice a persistent conjunctival growth could prevent this.
眼眶内容剜除术（OE）是一种毁容性手术，通常需要切除眼眶的全部内容物，包括眶骨膜、附属器、眼睑，有时还包括不同量的周围皮肤和骨骼。它会导致严重的功能、美学和心理损失。
本研究报告了加纳阿克拉一家教学医院进行眼眶内容剜除术的经验。
回顾性分析2005年11月至2009年10月期间所有接受眼眶内容剜除术患者的记录。这些病例均来自眼科眼眶与眼整形门诊。
共有25例患者接受了眼眶内容剜除术。其中19例（76%）为浸润性眼眶鳞状细胞癌，6例（24%）为其他病例。只有1例患者因良性疾病（眼眶血管瘤）接受眼眶内容剜除术。4例患者接受了保留眼睑的手术。其中1例是患有广泛眼表鳞状细胞癌的患者。5例患者患有复发性肿瘤。在鳞状细胞癌患者中，7例曾接受过手术，有时在前来我们诊所就诊之前接受过多次手术。
发展中国家的眼眶内容剜除术主要针对被忽视的眶周和眼表恶性肿瘤。教育患者一旦发现结膜持续生长就立即就医可以预防这种情况。
