Whenever dura resection and reconstruction are associated with orbital exenteration
, primary coverage of the orbit is critical for protection against meningitis .
Because of the tumor's proximity to the orbit, the patient opted for chemotherapy prior to surgical intervention in an attempt to avoid orbital exenteration
Subsequently, the patient underwent a maxillectomy with orbital exenteration
Finally, enucleation or orbital exenteration
is generally reserved for larger tumors that are unresponsive to other therapeutic modalities.
They range from the simple to the complex--debridement of the necrotic mucosa; Caldwell-Luc surgery; medial maxillectomy, ethmoidectomy, and sphenoidotomy; and radical maxillectomy with orbital exenteration