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Orbital osteoma: clinical features and management options
Leslie A Wei1, Nicholas A Ramey, Vikram D Durairaj
1*Department of Ophthalmology, Oculoplastic and Orbital Surgery Service, University of Colorado Denver, Denver, Colorado; †Department of Ophthalmology, Oculoplastic, Facial Cosmetic, and Orbital Surgery Service, University of Wisconsin-Madison, Madison, Wisconsin; ‡Department of Otolaryngology and Head and Neck Surgery, University of Colorado Denver, Denver, Colorado, U.S.A.; §Oculoplastics and Orbit Division, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia; ‖Oculoplastics Division, Wilmer Eye Institute, Johns Hopkins University, Baltimore, Maryland, U.S.A.; On leave of absence from the ¶Craniofacial Unit of the Department of Ophthalmology, Otorhinolaryngology and Head and Neck Surgery, School of Medicine of Ribeirão Preto-University of São Paulo, São Paulo, Brazil; and #Department of Ophthalmology, Oculoplastics, Lacrimal, and Orbital Surgery Service, University of British Columbia, Vancouver, British Columbia, Canada.
This review of sino-orbital osteoma cases found that while rare, these tumors can cause symptoms like vision changes and pain. Surgical management, including partial sculpting, can effectively treat these orbital osteomas.
Area of Science:
- Ophthalmology
- Otolaryngology
- Neurosurgery
Background:
- Osteomas are common paranasal sinus tumors, but orbital involvement is rare.
- This study reviews 11 cases of sino-orbital osteoma, focusing on clinical presentation and management.
Observation:
- The study analyzed 11 cases (1 primary, 10 secondary) of orbital osteoma with a median patient age of 40.
- Common symptoms included globe displacement, palpable nodules, pain, and diplopia.
- Surgical intervention was performed in 10 cases, with approaches tailored to lesion size and location.
Findings:
- Histologic subtypes included mixed compact, cancellous, and fibrous.
- Successful surgical outcomes were achieved using various approaches.
- Complete removal is not always necessary; partial sculpting can alleviate symptoms with reduced morbidity.
Implications:
- Orbital osteomas, though uncommon, require careful surgical planning.
- Partial osteoma sculpting offers a viable alternative to complete resection in select cases.
- Multidisciplinary collaboration (ophthalmology, otolaryngology, neurosurgery) is crucial for optimal patient care.
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