**14. Conclusions**

Extended orbital exenteration although highly disfiguring procedure give excellent chance of controlling the aggressive malignant process. A single procedure does not fit all the clinical scenarios. We have to examine the tumor extension and plan the procedure accordingly. There are many other clinical presentations like intracranial extension etc. We have purposefully restricted our discussion to only cases where dura was not infiltrated, for the readers to concentrate on the scenarios described above. Our efforts will continue to publish more such research to benefit our readers in understanding the surgical management of orbital tumors. Reconstruction of complex defects following extended orbital exenteration remain a challenge. Locoregional cutaneous and muscle flaps are useful, but free flaps like radial forearm flaps not only prove a good reconstruction option but tolerate the adjuvant treatment like radiation well. Last but not least, prosthesis helps in further enhancing the appearance and rehabilitation.
