Department of Otolaryngology-Head and Neck and Maxillofacial Surgery, Tel-Aviv Sourasky Medical Center, Sackler School of Medicine, Tel-Aviv University, Israel.
JAMA Otolaryngol Head Neck Surg. 2013 Aug 1;139(8):841-6. doi: 10.1001/jamaoto.2013.3878.
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.
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.
Peer-reviewed English-language literature and a single-center cohort of patients undergoing orbital exenteration with eye sparing, reconstruction, and preservation of orbital function.
Surgical treatment of orbital tumors is a complex task that requires thorough preparation and precise planning that would be aided by an algorithm.
We offer an algorithm that summarizes our approach toward the 2 main decision points of orbital surgery: extent of resection and method of reconstruction.
眼眶肿瘤的手术治疗是一项复杂的任务，需要充分的准备和精确的规划。由于各种不同来源、解剖范围和组织学亚型的肿瘤都会影响眼球，因此不能提供“一刀切”的方法。
通过文献复习和我们在一家大容量癌症中心的经验，描述一种综合方法，以实现眼眶肿瘤患者的最佳手术治疗。
经过同行评审的英语文献和单一中心眼眶根治性切除术伴眼球保留、重建和眼眶功能保存的患者队列。
眼眶肿瘤的手术治疗是一项复杂的任务，需要充分的准备和精确的规划，这将有助于通过算法来实现。
我们提供了一个算法，总结了我们对眼眶手术的两个主要决策点的方法：切除范围和重建方法。
