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Excision of Extensive Orbitozygomaticomaxillary Complex Tumors Combining an Intra- and Extraoral Approach With Transpalpebral Orbital Exenteration

The junction of the bones of the orbit, caudal maxilla and zygoma intersect to form an anatomically intricate region known as the orbitozygomaticomaxillary complex (OZMC). Given the critical role of the OZMC in the structure, function and esthetics of the skull and midface, tumors in this region pre...

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Autores principales: Thomson, Amy E., Rigby, Brittney E., Geddes, Alexander T., Soukup, Jason W.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7759551/
https://www.ncbi.nlm.nih.gov/pubmed/33363228
http://dx.doi.org/10.3389/fvets.2020.569747
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author Thomson, Amy E.
Rigby, Brittney E.
Geddes, Alexander T.
Soukup, Jason W.
author_facet Thomson, Amy E.
Rigby, Brittney E.
Geddes, Alexander T.
Soukup, Jason W.
author_sort Thomson, Amy E.
collection PubMed
description The junction of the bones of the orbit, caudal maxilla and zygoma intersect to form an anatomically intricate region known as the orbitozygomaticomaxillary complex (OZMC). Given the critical role of the OZMC in the structure, function and esthetics of the skull and midface, tumors in this region present unique challenges to the oromaxillofacial surgeon. Attempts to achieve histologically clean tumor margins in a cosmetically pleasing manner requires excellent intra-operative visualization. Additionally, minimized intra-operative and post-opertive complications is of paramount importance. In this manuscript we describe a combined intra- and extraoral approach to extensive tumors of the OZMC that incorporates orbital exenteration as a technique, which allows for excellent intra-operative visualization and mitigate intra- and post-operative complications. In addition, we describe our experience utilizing the technique in five clinical cases.
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spelling pubmed-77595512020-12-26 Excision of Extensive Orbitozygomaticomaxillary Complex Tumors Combining an Intra- and Extraoral Approach With Transpalpebral Orbital Exenteration Thomson, Amy E. Rigby, Brittney E. Geddes, Alexander T. Soukup, Jason W. Front Vet Sci Veterinary Science The junction of the bones of the orbit, caudal maxilla and zygoma intersect to form an anatomically intricate region known as the orbitozygomaticomaxillary complex (OZMC). Given the critical role of the OZMC in the structure, function and esthetics of the skull and midface, tumors in this region present unique challenges to the oromaxillofacial surgeon. Attempts to achieve histologically clean tumor margins in a cosmetically pleasing manner requires excellent intra-operative visualization. Additionally, minimized intra-operative and post-opertive complications is of paramount importance. In this manuscript we describe a combined intra- and extraoral approach to extensive tumors of the OZMC that incorporates orbital exenteration as a technique, which allows for excellent intra-operative visualization and mitigate intra- and post-operative complications. In addition, we describe our experience utilizing the technique in five clinical cases. Frontiers Media S.A. 2020-12-11 /pmc/articles/PMC7759551/ /pubmed/33363228 http://dx.doi.org/10.3389/fvets.2020.569747 Text en Copyright © 2020 Thomson, Rigby, Geddes and Soukup. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Veterinary Science
Thomson, Amy E.
Rigby, Brittney E.
Geddes, Alexander T.
Soukup, Jason W.
Excision of Extensive Orbitozygomaticomaxillary Complex Tumors Combining an Intra- and Extraoral Approach With Transpalpebral Orbital Exenteration
title Excision of Extensive Orbitozygomaticomaxillary Complex Tumors Combining an Intra- and Extraoral Approach With Transpalpebral Orbital Exenteration
title_full Excision of Extensive Orbitozygomaticomaxillary Complex Tumors Combining an Intra- and Extraoral Approach With Transpalpebral Orbital Exenteration
title_fullStr Excision of Extensive Orbitozygomaticomaxillary Complex Tumors Combining an Intra- and Extraoral Approach With Transpalpebral Orbital Exenteration
title_full_unstemmed Excision of Extensive Orbitozygomaticomaxillary Complex Tumors Combining an Intra- and Extraoral Approach With Transpalpebral Orbital Exenteration
title_short Excision of Extensive Orbitozygomaticomaxillary Complex Tumors Combining an Intra- and Extraoral Approach With Transpalpebral Orbital Exenteration
title_sort excision of extensive orbitozygomaticomaxillary complex tumors combining an intra- and extraoral approach with transpalpebral orbital exenteration
topic Veterinary Science
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7759551/
https://www.ncbi.nlm.nih.gov/pubmed/33363228
http://dx.doi.org/10.3389/fvets.2020.569747
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