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Primary orbital intraosseous hemangioma
Simon N Madge1, Sumu Simon, Zurina Abidin
1Discipline of Ophthalmology and Visual Sciences, University of Adelaide, Adelaide, South Australia. drsimonmadge@gmail.com
Ophthalmic Plastic and Reconstructive Surgery
|March 11, 2009
Summary
Primary orbital intraosseous hemangioma is a rare vascular tumor. Surgical excision is the main treatment, but preoperative embolization may reduce bleeding risks in these orbital tumors.
Area of Science:
- Ophthalmology
- Neurosurgery
- Pathology
Background:
- Primary orbital intraosseous hemangioma is a rare, benign vascular tumor affecting the bony orbit.
- Only 41 cases were previously documented in medical literature.
Observation:
- This study presents 4 new cases, bringing the total to 45 documented cases.
- The tumor commonly affects individuals in their fourth and fifth decades, with the frontal bone being the most frequent site.
- Painless orbital masses are the most common presentation, often on the orbital rim, with a median symptom duration of 12 months.
Findings:
- Cavernous hemangiomas constitute 80% of these lesions, while capillary subtypes appear more aggressive.
- Intracranial extension was noted in 4 cases.
- Surgical excision is the primary treatment, though significant blood loss can complicate procedures. Preoperative embolization is suggested to mitigate bleeding risks.
Implications:
- Early recognition of orbital intraosseous hemangioma is crucial for surgical planning.
- Awareness of potential life-threatening hemorrhage during surgery is vital for patient safety.
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