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Orbital osteoma arising adjacent to a foreign body
Riad N Ma'luf1, Nicola G Ghazi, Wadih M Zein
1Department of Ophthalmology, American University of Beirut-Medical Center, Beirut, Lebanon.
Ophthalmic Plastic and Reconstructive Surgery
|July 25, 2003
Summary
A facial blast injury led to a foreign body and later an osteoma in the orbital bone. This case suggests trauma and infection may contribute to osteoma development.
Area of Science:
- Ophthalmology
- Pathology
- Traumatology
Background:
- A 27-year-old male experienced a blast injury with an orbital foreign body.
- Initial management included oral antibiotics, with refusal of surgical intervention.
Observation:
- Five years post-injury, the patient presented with recurrent medial canthal swelling, redness, and pain.
- A computed tomography (CT) scan revealed fragmented foreign body and a newly developed radiodense lesion adjacent to the orbital bone.
Findings:
- Surgical exploration successfully removed three foreign body fragments and the orbital lesion.
- Histopathology confirmed the lesion to be an ivory-type osteoma.
Implications:
- This case provides evidence supporting traumatic and infectious factors in osteoma pathogenesis.
- Highlights the potential for delayed bone lesion development following orbital trauma.