VT18 : Socket and lid reconstruction after Lid sparing orbital exenteration

Dr.Salil Kumar Mandal, Dr.PURBAN GANGULY, Dr. TAMOJIT CHATTERJEE

This video shows surgical and cosmetic out come and recurrence of the ocular malignancy with spreading tendency after lid sparing orbital exenteration . Effectiveness of socket and lid reconstruction without removing the periostium. Orbital exenteration done without removing the periostium. It helps in accept the split thickness graft over periostium covering bone orbit and forehead rotational flap for lid reconstruction.Post operatively patient looks better than conventional orbital exenteration. Prosthesis was easy to fit and retain safely due to lid support. All the patients in this series had satisfactory post surgical, cosmetic and functional outcome. Preserving periostium in the orbit is much effective for split thickness skin graft to accept on host. Lid sparing orbital exenteration without removing periostium is effective for socket reconstruction by split thickness skin graft.No recurrence in one year follow up