Total Maxillectomy with Orbital Clearance for  Squamous Cell Carcinoma of Maxilla – Our xperience  with two Cases and Literature Review

Dr Hemant Lekawale; Dr Ashish Chitharanjan

Volume : II, Issue : III, December - 2012

Total Maxillectomy with Orbital Clearance for Squamous Cell Carcinoma of Maxilla – Our xperience with two Cases and Literature Review

Dr Hemant Lekawale, Dr Ashish Chitharanjan

Abstract :

Malignant tumours of ethmoid and maxillary sinus frequently involve the orbit. Orbital involvement is an important prognostic predictor of recurrence–free, disease–specific, and overall survival. We report two cases of maxillary sinus squamous cell carcinoma infiltrating the orbital floor who underwent total maxillectomy with orbital clearance operated at our institute. Various studies showed that orbital preservation as opposed to orbital exenteration or clearance does not result in significant differences in local recurrence or actuarial survival. Small defects following orbital exenteration may be reconstructed with a temporalis muscle flap. Microvascular free–tissue transfer is the best option for repair of defects following orbital exenteration and total maxillectomy, although an obturator still has a role in selected patients in low resource setups.