Related Experiment Video
Updated: Mar 3, 2026
Three-Dimensional Reconstruction of Orbital Fractures
Published on: May 16, 2025
Orbital Reconstruction in Neuroectodermal Tumor of the Orbit: Multimodal Treatment Approach
Jorge Ernesto Cantini A1, Diana M Díaz López, Esteban Francisco Hernandez Florez
1*Plastic Surgery Department from the San Jose Hospital, University Foundation of Health Sciences, Bogotá †Cancer Clinic of Norte de Santander, Colombian Association of Hematology, Cúcuta, Colombia.
Introduction:
Primitive neuroectodermal tumors of peripheral origin are very rare, and orbital neuroectodermal tumors are even more uncommon. Only 25 patients with primary orbital involvement in the pediatric age group have been reported.
Methods:
In this article, the authors describe their experience in the multimodality treatment approach to treat neuroectodermal tumor of the orbit. The authors also present a male patient 3-year old presenting with a neuroectodermal tumor of the right orbit causing rapidly progressive proptosis. The patient underwent an upper and lateral orbital marginotomy. The entire bone defect was reconstructed with a bone graft, allowing for the reconstruction of the floor and the lateral wall of the middle cranial fossa, the floor of the anterior cranial fossa, the upper and lateral orbital frame, and the right zygomatic bone. Over a period of 16 months, the patient was subjected to chemotherapy.
Results:
In the postoperative period, a favorable evolution of the disease was observed, with growth in the reconstructed structures, good projection of the orbit and the eyeball, and stable results without tumor recurrence.
Conclusions:
The authors present the clinical analysis, surgical management, as well as the chemotherapy treatment established, with follow-ups at 1 and 2 and a half years. This experience shows the effectiveness of multimodality therapy in the treatment of rare tumors of difficult handling.
