Social Perception of Reconstruction following Orbital Exenteration

Background:. Orbital exenteration, the removal of the entire globe, eyelids, and orbital content, is indicated in extensive neoplastic disease involving the orbital region. Although a functional reconstruction of orbital exenteration defects is mandatory, aesthetic concerns need to be considered. Fa...

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Autores principales:	Mario Cherubino, MD, FEBOPRAS, Tommaso Baroni, MD, Veronica Santoro, MD, Leonardo Garutti, MD, Paolo Battaglia, MD, Mario Turri-Zanoni, MD, Pietro Di Summa, MD, PhD, Federico Tamborini, MD, Danilo di Giovanna, MD, Luigi Valdatta, FACS
Formato:	article
Lenguaje:	EN
Publicado:	Wolters Kluwer 2021
Materias:	Surgery RD1-811
Acceso en línea:	https://doaj.org/article/85a210e585d447ecb7403b015e8fc9bd
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spelling	oai:doaj.org-article:85a210e585d447ecb7403b015e8fc9bd2021-11-25T07:57:34ZSocial Perception of Reconstruction following Orbital Exenteration2169-757410.1097/GOX.0000000000003883https://doaj.org/article/85a210e585d447ecb7403b015e8fc9bd2021-10-01T00:00:00Zhttp://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003883https://doaj.org/toc/2169-7574Background:. Orbital exenteration, the removal of the entire globe, eyelids, and orbital content, is indicated in extensive neoplastic disease involving the orbital region. Although a functional reconstruction of orbital exenteration defects is mandatory, aesthetic concerns need to be considered. Facial disfigurement following reconstructive surgery often leads to great discomfort and social retirement, which can limit social interaction. The aim of this study was to explore how the society perceives the aspect of patients who underwent orbital exenteration and subsequent reconstruction, comparing two different types of reconstruction: standard anterolateral thigh (ALT) or “sandwich” fascial ALT (SALT) free flap. Methods:. An online survey was created based on four questions regarding the perception of reconstruction (discomfort at looking at that patient, perception of unhealthiness, hypothesis of social life impairment, etc); five possible answers were provided, ranging from “completely” to “not at all.” The survey was administered to the general population and to medical students. Results:. In total, 255 people participated to the survey (130 medical students and 125 people of the general population); a total of 245 surveys were considered eligible (10 were incomplete and then discharged). Statistical significance was found (P < 0.001) regarding the better overall appearance of the SALT group over the ALT one. Conclusions:. After analysis, the surgical outcome after SALT reconstruction has been found to be less disruptive in both groups, due to a reduced scar burden and a more pleasant orbital pocket. Our results encourage more research in the field of postexenteration reconstruction to achieve more aesthetic and social acceptability.Mario Cherubino, MD, FEBOPRASTommaso Baroni, MDVeronica Santoro, MDLeonardo Garutti, MDPaolo Battaglia, MDMario Turri-Zanoni, MDPietro Di Summa, MD, PhDFederico Tamborini, MDDanilo di Giovanna, MDLuigi Valdatta, FACSWolters KluwerarticleSurgeryRD1-811ENPlastic and Reconstructive Surgery, Global Open, Vol 9, Iss 10, p e3883 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Surgery RD1-811
spellingShingle	Surgery RD1-811 Mario Cherubino, MD, FEBOPRAS Tommaso Baroni, MD Veronica Santoro, MD Leonardo Garutti, MD Paolo Battaglia, MD Mario Turri-Zanoni, MD Pietro Di Summa, MD, PhD Federico Tamborini, MD Danilo di Giovanna, MD Luigi Valdatta, FACS Social Perception of Reconstruction following Orbital Exenteration
description	Background:. Orbital exenteration, the removal of the entire globe, eyelids, and orbital content, is indicated in extensive neoplastic disease involving the orbital region. Although a functional reconstruction of orbital exenteration defects is mandatory, aesthetic concerns need to be considered. Facial disfigurement following reconstructive surgery often leads to great discomfort and social retirement, which can limit social interaction. The aim of this study was to explore how the society perceives the aspect of patients who underwent orbital exenteration and subsequent reconstruction, comparing two different types of reconstruction: standard anterolateral thigh (ALT) or “sandwich” fascial ALT (SALT) free flap. Methods:. An online survey was created based on four questions regarding the perception of reconstruction (discomfort at looking at that patient, perception of unhealthiness, hypothesis of social life impairment, etc); five possible answers were provided, ranging from “completely” to “not at all.” The survey was administered to the general population and to medical students. Results:. In total, 255 people participated to the survey (130 medical students and 125 people of the general population); a total of 245 surveys were considered eligible (10 were incomplete and then discharged). Statistical significance was found (P < 0.001) regarding the better overall appearance of the SALT group over the ALT one. Conclusions:. After analysis, the surgical outcome after SALT reconstruction has been found to be less disruptive in both groups, due to a reduced scar burden and a more pleasant orbital pocket. Our results encourage more research in the field of postexenteration reconstruction to achieve more aesthetic and social acceptability.
format	article
author	Mario Cherubino, MD, FEBOPRAS Tommaso Baroni, MD Veronica Santoro, MD Leonardo Garutti, MD Paolo Battaglia, MD Mario Turri-Zanoni, MD Pietro Di Summa, MD, PhD Federico Tamborini, MD Danilo di Giovanna, MD Luigi Valdatta, FACS
author_facet	Mario Cherubino, MD, FEBOPRAS Tommaso Baroni, MD Veronica Santoro, MD Leonardo Garutti, MD Paolo Battaglia, MD Mario Turri-Zanoni, MD Pietro Di Summa, MD, PhD Federico Tamborini, MD Danilo di Giovanna, MD Luigi Valdatta, FACS
author_sort	Mario Cherubino, MD, FEBOPRAS
title	Social Perception of Reconstruction following Orbital Exenteration
title_short	Social Perception of Reconstruction following Orbital Exenteration
title_full	Social Perception of Reconstruction following Orbital Exenteration
title_fullStr	Social Perception of Reconstruction following Orbital Exenteration
title_full_unstemmed	Social Perception of Reconstruction following Orbital Exenteration
title_sort	social perception of reconstruction following orbital exenteration
publisher	Wolters Kluwer
publishDate	2021
url	https://doaj.org/article/85a210e585d447ecb7403b015e8fc9bd
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Social Perception of Reconstruction following Orbital Exenteration

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