Management of traumatic supraorbital neuroma

Traumatic neuromas represent proliferative overgrowth of axons, Schwann cells, and fibroblasts at the proximal end of nerve injury or transsection. Although common elsewhere, traumatic neuromas have rarely been noted in the orbits. All but one of these reported lesions occurred after orbital surgery. We present a patient with a painful traumatic neuroma of the supraorbital nerve due to application of a halo fixation device. Neuroma resection and microneural repair resulted in prompt resolution of symptoms without compromise of nerve function.