Dermis fat graft for pediatric exenteration-challenging but rewarding
Orbital exenteration is a destructive and disfiguring surgery and involves removal of the entire orbital contents, soft tissue and often lids as well. We report a case of an eight month old female, with malignant orbital teratoma who underwent lid sparing exenteration for the destructive, locally ad...
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doaj-8a5d8e68309b4bd9afc9871451cbee0d2021-04-02T21:04:40ZengWolters Kluwer Medknow PublicationsSaudi Journal of Ophthalmology1319-45342017-07-0131316917210.1016/j.sjopt.2017.04.011Dermis fat graft for pediatric exenteration-challenging but rewardingHimika Gupta0Deepa Nair1Aliasgar Moiyadi2Prathamesh Pai3Department of Ophthalmology, MGM Medical College and University, Kamothe, Navi Mumbai, Maharashtra, IndiaDepartment of Surgical Oncology, Tata Memorial Hospital, Mumbai, Maharashtra, IndiaDepartment of Surgical Oncology, Tata Memorial Hospital, Mumbai, Maharashtra, IndiaDepartment of Surgical Oncology, Tata Memorial Hospital, Mumbai, Maharashtra, IndiaOrbital exenteration is a destructive and disfiguring surgery and involves removal of the entire orbital contents, soft tissue and often lids as well. We report a case of an eight month old female, with malignant orbital teratoma who underwent lid sparing exenteration for the destructive, locally advanced disease. Three month post surgery she developed recurrence with intracranial extension as well as socket infection with pus discharge. Repeat surgery involved a multispeciality approach for removal of the tumor which was abutting the cavernous sinus posteriorly and ethmoid sinus medially, apart from filling the entire bony orbit. The focus of infection was found to be the retained lacrimal sac. The unhealthy lid skin also had to be sacrificed. The challenges in repeat exenteration of an 8 month old, and the utility of autologous dermis fat graft as a reconstructive option are discussed.http://www.sciencedirect.com/science/article/pii/S1319453417300504Exenteration socket reconstructionPediatric socketDermis fat graftBiological dressing |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Himika Gupta Deepa Nair Aliasgar Moiyadi Prathamesh Pai |
spellingShingle |
Himika Gupta Deepa Nair Aliasgar Moiyadi Prathamesh Pai Dermis fat graft for pediatric exenteration-challenging but rewarding Saudi Journal of Ophthalmology Exenteration socket reconstruction Pediatric socket Dermis fat graft Biological dressing |
author_facet |
Himika Gupta Deepa Nair Aliasgar Moiyadi Prathamesh Pai |
author_sort |
Himika Gupta |
title |
Dermis fat graft for pediatric exenteration-challenging but rewarding |
title_short |
Dermis fat graft for pediatric exenteration-challenging but rewarding |
title_full |
Dermis fat graft for pediatric exenteration-challenging but rewarding |
title_fullStr |
Dermis fat graft for pediatric exenteration-challenging but rewarding |
title_full_unstemmed |
Dermis fat graft for pediatric exenteration-challenging but rewarding |
title_sort |
dermis fat graft for pediatric exenteration-challenging but rewarding |
publisher |
Wolters Kluwer Medknow Publications |
series |
Saudi Journal of Ophthalmology |
issn |
1319-4534 |
publishDate |
2017-07-01 |
description |
Orbital exenteration is a destructive and disfiguring surgery and involves removal of the entire orbital contents, soft tissue and often lids as well. We report a case of an eight month old female, with malignant orbital teratoma who underwent lid sparing exenteration for the destructive, locally advanced disease. Three month post surgery she developed recurrence with intracranial extension as well as socket infection with pus discharge. Repeat surgery involved a multispeciality approach for removal of the tumor which was abutting the cavernous sinus posteriorly and ethmoid sinus medially, apart from filling the entire bony orbit. The focus of infection was found to be the retained lacrimal sac. The unhealthy lid skin also had to be sacrificed. The challenges in repeat exenteration of an 8 month old, and the utility of autologous dermis fat graft as a reconstructive option are discussed. |
topic |
Exenteration socket reconstruction Pediatric socket Dermis fat graft Biological dressing |
url |
http://www.sciencedirect.com/science/article/pii/S1319453417300504 |
work_keys_str_mv |
AT himikagupta dermisfatgraftforpediatricexenterationchallengingbutrewarding AT deepanair dermisfatgraftforpediatricexenterationchallengingbutrewarding AT aliasgarmoiyadi dermisfatgraftforpediatricexenterationchallengingbutrewarding AT prathameshpai dermisfatgraftforpediatricexenterationchallengingbutrewarding |
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1714699002214088704 |