High-dose radiation to the orbit. A cause of skin graft failure after exenteration
D. E. Savar
Two patients had orbital exenteration for recurrent basal cell carcinoma
after multiple courses of radiation to the orbit. Postoperatively, there
was sloughing of skin graft from the bony surfaces that received the
highest exposure to the radiation, presumably secondary to death of
soft-tissue elements within the bone. Incidentally, epithelialization of
these areas secondarily by granulation failed to occur. The result was
permanent denuding of large areas of orbital bone.
