**4. Total orbital exenteration-lid preserving**

Lid preserving orbital exenteration is an excellent surgical procedure as it takes care of the challenge of providing a good concave stable skin cover over which customized prosthesis can be glued. If it is not oncologically safe to preserve eyelids, they can be sacrificed and orbital cavity can be lined by temporalis fascia/muscle, fore head flap or split-thickness skin graft. Some surgeons do advocate spontaneous granulation method, however healing by granulation takes a long time and needs intensive post-operative care. Lid sparing technique avoid these sequels provided this method is technically feasible. This method, popularized by Coston and Small, is the modification of total exenteration technique which preserve major parts of both the eye lids [17]. A transverse blepharorrhaphy is done to cover the orbit thus ensuing good cosmesis and fast healing. This method also spares orbicularis muscle which provides an excellent vascular supply to the skin flap enhancing early healing.

*Extended Orbital Exenteration: A Step-by-Step Approach DOI: http://dx.doi.org/10.5772/intechopen.104763*
