Author(s): Weizman N, Horowitz G, Gil Z, Fliss DM
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Abstract IMPORTANCE: 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. OBJECTIVE: 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. EVIDENCE REVIEW: Peer-reviewed English-language literature and a single-center cohort of patients undergoing orbital exenteration with eye sparing, reconstruction, and preservation of orbital function. FINDINGS: Surgical treatment of orbital tumors is a complex task that requires thorough preparation and precise planning that would be aided by an algorithm. CONCLUSIONS AND RELEVANCE: We offer an algorithm that summarizes our approach toward the 2 main decision points of orbital surgery: extent of resection and method of reconstruction.
This article was published in JAMA Otolaryngol Head Neck Surg
and referenced in Reconstructive Surgery & Anaplastology