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CASE REPORT
Year : 2014  |  Volume : 41  |  Issue : 3  |  Page : 188-191

Primary antral carcinoma managed by en-bloc radical maxillectomy with orbital exenteration


1 Department of Surgery, Burdwan Medical College, Burdwan, West Bengal, India
2 Department Physiology, Burdwan Medical College and Hospital, Burdwan, West Bengal, India

Correspondence Address:
Arunima Chaudhuri
Krishnasayar South, Borehat, Burdwan - 713 102, West Bengal
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-5009.141225

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The prognosis of maxillary sinus carcinomas is not very promising. Maxillary sinus carcinomas are usually diagnosed at advanced stages and the proximity of important organs such as the eyes and cranial nerves makes complete surgical resection difficult. We here present a case that presented late with squamous cell carcinoma and was treated by radiotherapy (RT) followed by radical maxillectomy with en-bloc orbital exenteration. Patients who undergo RT followed by en-bloc radical maxillectomy with orbital exenteration as salvage, in these cases may have promising results. We had raised forehead fascio cutaneous flap and translocated it deep to the upper eyelid to bridge the cutaneous defect. Forehead defect was covered with split-thickness skin taken from left thigh. No microvascular surgery was done, but cosmetic results were comparable. In rural setups of developing countries where facilities for microvascular surgery are lacking flap translocation may have a positive outcome.


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