6533b870fe1ef96bd12d054b

RESEARCH PRODUCT

Maggot therapy following orbital exenteration

Adrian GerickeSusanne PitzNorbert PfeifferEsther M. Hoffmann

subject

Malemedicine.medical_specialtygenetic structuresOrbital exenterationCellular and Molecular NeuroscienceBiopsyMaggot therapyOrbital massmedicineAnimalsHumansLettersRadical surgerymusicOrbit EviscerationGram-Positive Bacterial InfectionsAged 80 and overmusic.instrumentmedicine.diagnostic_testbusiness.industrySolitary fibrous tumourBacterial InfectionsOrbit EviscerationBacteroides Infectionseye diseasesSensory SystemsSurgeryOphthalmologyLarvaOrbital NeoplasmsTissue necrosissense organsbusinessEnterococcus

description

Orbital exenteration is a radical surgery reserved for the treatment of locally invasive or potentially life-threatening orbital tumours.1 Complications occur after 20–25% of exenterations and include tissue necrosis (6%) and infection (3–4%).2–4 In the present report, we describe the management of a post-exenteration orbital infection by the use of maggots. An 82-year-old multimorbid man presented with a fist-sized painless tumour of the left orbit (fig 1A). Computed tomography demonstrated an orbital mass clearly demarcated from the surrounding tissue (fig 1B). After biopsy, the neoplasm was classified as a borderline-malignant extrapleural solitary fibrous tumour. Therefore, a total orbital exenteration was performed, and the wound was left open to …

https://doi.org/10.1136/bjo.2007.116673