Abstract
Orbital exenteration results in a disfiguring defect with aesthetic, functional, social, and potentially life-threatening implications. Primary goals of reconstruction include separation of the nasal and orbital cavity, protection of intracranial contents, sealing of the skull base, obliteration of the surgical defect, and preparation for adjuvant radiation. Secondary goals include aesthetic optimization and planning for orbital prostheses. There are a variety of reconstructive options. The reconstruction plan should consider these primary and secondary goals, patients’ desires, available resources, and surgeon skills.
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