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Historically, radical excision with orbital exenteration has been the standard treatment for paranasal sinus tumours that approached the eye.
Accurate pre-operative assessment is essential to differentiate between these two so that surgery can be planned and adequate consent and patient information given especially if there is a possibility of orbital exenteration .
In every case the primary surgical aim was exenteration of retraction pocket disease with or without cholesteatoma.
The following week, the patient underwent a palliative anterior pelvic exenteration of the urinary bladder with urinary diversion and partial vulvectomy involving the upper part of the vulva and clitoris.
At the time of the power outage, three patients were undergoing procedures - an anterior ankle fusion, a bilateral radical neck dissection, and a total pelvic exenteration .
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