Causas de exenteração

Causas de exenteração

Autores:

Valmor Rios Leme,
Mauro Vagner Duarte Oliveira,
Nelson Boeira Júnior,
Antonio Augusto V Cruz

ARTIGO ORIGINAL

Arquivos Brasileiros de Oftalmologia

versão impressa ISSN 0004-2749versão On-line ISSN 1678-2925

Arq. Bras. Oftalmol. vol.62 no.1 São Paulo fev. 1999

http://dx.doi.org/10.5935/0004-2749.19990056

SUMMARY

Purpose:

To analyze the causes of the exenterations performed at the Orbit Clinic of the Department of Ophthalmology of FMRP-USP.

Methods:

A retrospective analysis of 23 medical records of patients who were exenterated, at the Orbit Clinic of the Department of Ophthalmology, FMRP-USP, during a sevenyear period,from May 1992 to January 1998. The parameters analyzed were: sex, age, histopathologic findings and origin of the lesions.

Results:

Ali exenterations were performed in arder to treat neoplastic disorders. ln 95. 7 % of the cases the orbit was invaded by local neoplastic lesions. Of these, 61.9% presented with lesions that could be diagnosed by inspection. Most of them had eyelid tumors that had already been operated on in other clinics.

Conclusions:

Eyelid malignancies are extremely dangerous. They easily invade the orbits and are the main cause of orbital exenteration.

Keywords: Orbit; Eyelid; Tumor; Exenteration

REFERÊNCIAS

1 Leite Filho M, Matayoshi S, Gonçalves JOR. Exenteração In: Soarei EJC, Moura EM, Gonçalves JOR, Cirurgia Plástica Ocular. São Paulo: Ed. Roca Ltda, 1997, Cap 19
2 Gonçalves JOR et al. Tratamento das Lesões Expansivas da Órbita. In:Patologia da Órbita. Rio de Janeiro: Livro Médico Editora Ltda. 1984.
3 Morizot Leite LA. Terapêutica Cirúrgica dos Tumores Orbitários. In:Enciclopédia Médica Brasileira, Oftalmologia. Rio de Janeiro: Manole e Livro Médico Editora Ltda, 1981.
4 Stewart WB, Ells DS. Exenteration: an overview of the operation and its role. In:Nesi FA; Lisman RD, Levine MR, Brazzo BG, Gladstone GJ, Smith's Ophthalmic Plastic and Reconstructive Surgery. St. Louis: Mosby-Year Book,Inc 1998, Cap 49.
5 Small RG. Exenteration of the orbit: lndications and techniques. In: Nesi FA, Lisman RD, Levine MR, Brazzo BG, Gladstone GJ, Smith's Ophthalmic Plastic and Reconstructive Surgery. St. Louis: Mosby-Year Book,Inc 1998, Cap 50.
6 Gunalp I, Gunduz K, Duruk K. Orbital exenteration: a review of 429 cases. Int Ophthalmol 1995-96; 19: 177-84.
7 Schayan-Araghi K, Hubner H. Orbital exenteration: a preventable course in tumor treatment? Ophthalmologe 1994; 91:536-9.
8 Levin PS, Dutton JJ. A 20-year series of orbital exenteration. Am J Ophthalmol 1991;112:496-501.
9 Bartley GB, Garrity JA, Waller RR, Henderson JW, Listrup DM. Orbital exenteration at the Mayo clinic. Ophthalmology 1989;96:468--73.
10 Savage RC. Orbital exenteration and reconstruction for massive basal cell and squamous cell carcinoma of cutaneous origin. Ann Plast Surg 1983; 10:458-66.
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