Orbital exenteration with spontaneous granulation
A. M. Putterman
Excision of the orbital contents by orbital exenteration is required in the
treatment of some eyelid and orbital carcinomas. Allowing the orbit to heal
spontaneously with granulation tissue has several advantages over the
popular technique of lining the orbital walls with a split-thickness skin
graft. The use of granulation tissue is simpler, since it avoids the needs
for obtaining a skin graft, and the final result is cosmetically more
acceptable, because a shallower cavity occurs compared with the skin graft
technique. The main disadvantages are that it takes longer for the orbit to
heal and dressing changes are required more frequently. The spontaneous
granulation technique has provided excellent results in 12 patients with
exenterated orbits.
