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Orbital osteoma: three case reports.

I Benatiya Andaloussi1, E Touiza, S Bhallil

  • 1Departement of Ophthalmology, Hassan II University Hospital, Fès, Morocco. cherdoc@hotmail.com

Bulletin De La Societe Belge D'Ophtalmologie
|August 15, 2006
PubMed
Summary
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Osteomas are benign tumors of the paranasal sinuses, often asymptomatic. This study details three cases of ethmoidal osteomas with orbital extension, highlighting diagnosis and surgical management.

Area of Science:

  • Ophthalmology
  • Otorhinolaryngology
  • Neurosurgery

Background:

  • Osteomas are the most common benign tumors affecting the paranasal sinuses.
  • Typically asymptomatic, osteomas are often discovered incidentally via radiological imaging.
  • Orbital extension of paranasal sinus osteomas is rare but can lead to significant complications.

Observation:

  • Three cases of ethmoidal osteomas with orbital involvement are presented.
  • Patients experienced symptoms including orbital deformity, dacryocystitis, swelling, and exophthalmos.
  • Diagnosis was confirmed using computed tomography, guiding surgical intervention.

Findings:

  • Surgical excision, via external approaches or ethmoidectomy, was performed for tumor removal.
  • One case resulted in postoperative complications including ptosis and diplopia.

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  • Follow-up indicated positive outcomes in two cases, with normal recovery or symptom resolution.

    • Implications:

    • Computed tomography is crucial for diagnosing orbital osteomas and planning surgical approaches.
    • While generally benign, voluminous osteomas can cause orbital manifestations and serious complications.
    • Surgical management of ethmoidal osteomas with orbital extension requires careful consideration of potential ocular and neurosurgical risks.