This Article  • Full text  • PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Related article  • Similar articles in this journal  Topic Collections  • Facial Plastic Surgery  • Oculoplastic Surgery  • Alert me on articles by topic

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

In a recent article describing a useful well-known technique for reconstruction after orbital exenteration, Uusitalo and coworkers¹ described a patient who underwent orbital exenteration for primary rhabdomyosarcoma. We find this surprising because the Intergroup Rhabdomyosarcoma Study found a 10-year overall survival rate of 87% with use of chemotherapy with or without adjunctive radiation.² Our service (Oculoplastic and Orbital Surgery, Massachusetts Eye and Ear Infirmary, Boston, Mass) refers biopsy-proved cases of orbital rhabdomyosarcoma to pediatric oncology, where the present protocol includes 1 year of intravenous vincristine sulfate and dactinomycin with or without radiation. It would be interesting to know what specific characteristics of this case indicated exenteration.

As the authors point out, the rectus abdominis myocutaneous free flap is useful in orbital reconstruction primarily because it produces a maintenance-free socket and is therefore desirable in pediatric cases. We have used this technique since 1990 in adult patients, such as those with . . . [Full Text of this Article]

Aaron Fay, MD; Nicoletta Fynn-Thompson, MD; Mark Varvares, MD
Boston, Mass

RELATED ARTICLE

Reconstruction After Orbital Exenteration—Reply
Joan M. O'Brien, Seymour Zoger, Katherine K. Matthay, and Robert M. Goldsby
Arch Ophthalmol. 2003;121(11):1662.
EXTRACT | FULL TEXT