Intraorbital Osteoma and Surgical Strategy

Alper, Mehmet; Gürler, Tahir; Totan, Serhat; Bılkay, Ufuk; Songür, Ecmel; Mutluer, Saffet

doi:10.1097/00001665-199809000-00016

Cited by 12 publications

(4 citation statements)

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“…Cases presenting primary endo-orbital osteomas without sinusal involvement are exceptional. 11,12,13 The neoplasm growth (both primary and secondary) inside the orbital cavity causes orbital matrix displacement and compression. In these cases, symp- ENDO-ORBITAL OSTEOMA / Becelli et al toms are rather variable; no pulsating exophthalmos, diplopia (related to extrinsic muscles displacement), eyelid edema, infections (orbital cellulitis), and epiphora (related to nasolacrimal duct obstruction) are the most common manifestations, although many other symptoms have occasionally been reported.…”

Section: Discussionmentioning

confidence: 99%

“…In this case, symptoms becomes rapidly more important; in the case of orbital involvements 4,5 , proptosis, visual ability decreasing, chemosis, diplopia, epiphora and no pulsating exophthalmos may manifest; intracranial mucocele, brain abscess, meningitis, pneumocephalus, hemiparesis, and bitemporal quandrantopsia represent the intracranial extensions related complications. 8,9,10 Cases with primary endo-orbital osteoma without sinusal involvement 11,12,13 are extremely rare.…”

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confidence: 99%

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Endo-Orbital Osteoma: Two Case Reports

Becelli

Santamaria²,

Saltarel³

et al. 2002

Journal of Craniofacial Surgery

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Osteoma is a benign, slow-growing tumor, which mainly occurs in the bones and cavities of the middle third of the face, representing the most frequent benign tumor of the paranasal sinuses. Osteoma of the paranasal sinuses is generally asymptomatic and it is discovered only as a coincidental radiological finding; when it becomes symptomatic, the most common presenting symptoms are headaches and facial pain. Rarely the sinusal osteoma may entail secondary orbital extension, with ocular signs and symptoms. Primary intraorbital involvement is extremely rare. The authors present a review of the literature and report two cases of primary orbital osteoma. In both cases surgical treatment led to the complete remission of symptoms. Diagnosis and surgical therapy are discussed.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

Endo-Orbital Osteoma: Two Case Reports

Becelli

Santamaria²,

Saltarel³

et al. 2002

Journal of Craniofacial Surgery

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“…2,31 Sinusitis, mucoceles, and orbital emphysema have been also reported as complications of the orbital osteoma in humans. 2,8 Complete surgical resection is usually curative; 5,29,32 however, if asymptomatic, osteomas can be treated conservatively with anti-inflammatory medications. 2,33 To achieve complete tumor resection in our patient, radical excision of the medial orbital wall would have been indicated.…”

Section: Discussionmentioning

confidence: 99%

Successful medical treatment of an orbital osteoma in a dog

Grozdanić¹,

Riedesel

Ackermann

2012

Veterinary Ophthalmology

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A 6-year-old neutered male German Shepherd-mixed breed with a 2-month history of bilateral conjunctival hyperemia, epiphora, and a firm, slowly progressive swelling of the medial canthal region of the left eye (OS) was examined. Ophthalmic examination OS revealed a firm and smooth mass, extending from the medial canthus toward the medial orbital wall. Indirect ophthalmoscopy revealed indentation of the nasal part OS, which corresponded to the position of the orbital mass. Orbital neoplastic diseases were the main differential considerations. Computerized tomography revealed a bony smooth orbital mass without bone destructive features. Biopsy was performed, and histologic features were suggestive of osteoma. Systemic nonsteroidal anti-inflammatory (NSAID) drugs resulted in complete mass regression and absence of clinical signs for 5 years following initial diagnosis. This report describes the first case of canine orbital osteoma, which was responsive to NSAIDs.

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“…Symptoms are usually related to obstruction of the paranasal sinus drainage system (Rosai, 2004). Intraorbital extension is rare and causes diplopia (Alper et al, 1998). Microscopically they are composed of dense, mature, predominantly lamellar bone.…”

Section: Introductionmentioning

confidence: 99%

Large Orbital Osteoma Arising from Orbital Roof: Excision through an Upper Blepharoplasty Incision

Livaoğlu

Çakır

Karaçal

2009

Orbit

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Osteoma is the most common benign tumor of facial bony structure. Intraorbital extension is extremely rare. We report a case of intraorbital, pedicled osteoma originating from the left orbital roof. The patient's ophtalmological examination revealed; only light perception due to the severe amblyopia and posterior capsular opacification in the right eye, and complete visual acuity in the left. His left eye was proptotic and directed to downward lateral gaze position. Using upper blepharoplasty incision, the osteoma was completely excised. There were not any postoperative complications and all ocular symptoms in the left eye were resolved after 1 month.

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Intraorbital Osteoma and Surgical Strategy

Cited by 12 publications

References 0 publications

Endo-Orbital Osteoma: Two Case Reports

Endo-Orbital Osteoma: Two Case Reports

Successful medical treatment of an orbital osteoma in a dog

Large Orbital Osteoma Arising from Orbital Roof: Excision through an Upper Blepharoplasty Incision

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