Role of oncoplastic surgery in the management of primary orbital squamous cell carcinoma.

Primary squamous cell carcinoma (SCC) of the orbit is a rare and uncommon form of invasive epithelial malignancy, with few cases reported. Due to its rarity, treatment protocols remain undefined, and the therapy choices are debated. We present the case of a male in his early 50s from a low-income country who underwent treatment based on basic oncoplastic principles. He presented with a painful, blind right eye for 4 months, with clinical and imaging studies ruling out other primary malignancies. The diagnosis was locally advanced primary orbital SCC. A multidisciplinary team recommended orbital exenteration with craniofacial resection, followed by reconstruction using a temporalis sling flap and nasolabial advancement flap. Six months postsurgery, the patient showed good progress with normal vision in the unaffected eye. Primary orbital SCC, though rare, can be successfully treated with surgical resection and oncoplastic reconstruction, even in resource-limited settings.