Orenstein A, Borenstein A, Zilinsky I, Tsur H
Harefuah. 1989 Jun 1;116(11):573-6.
3 patients with invasive basal cell carcinoma of the skin which necessitated orbital exenteration are reported. In all 3 treatment was delayed, primary therapy was inadequate and the tumor had reached massive size. Excision of the orbital contents is a radical, mutilating procedure, but in advanced cases of malignant orbital tumors it offers the only chance for survival. The temporalis muscle flap is adaptable, well supplied with blood, and contains a large mass of tissue. Its utilization provides a simple, uncomplicated and effective technique for orbital reconstruction following massive resection. It gives a relatively effective result which is usually acceptable to the patient.
报告了3例因侵袭性皮肤基底细胞癌而需要进行眼眶内容物剜除术的患者。所有3例患者的治疗均被延误,初始治疗不充分,肿瘤已发展到很大的体积。眼眶内容物切除术是一种根治性的、致残性的手术,但在恶性眼眶肿瘤的晚期病例中,它是唯一的生存机会。颞肌瓣适应性强,血供良好,且含有大量组织。其应用为大规模切除术后的眼眶重建提供了一种简单、不复杂且有效的技术。它能给出相对有效的结果,通常患者也能接受。