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Surgical Treatment of an Endolymphatic Sac Tumor
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Orbital myxoma: A case report.

Luke Weisbrod1, Kyle Smith2, Paul Camarata1

  • 1Department of Neurosurgery, University of Kansas Health System, Kansas City, Kansas.

Surgical Neurology International
|April 8, 2020
PubMed
Summary
This summary is machine-generated.

Intraosseous orbital myxomas are rare benign tumors. This case highlights successful surgical removal via an orbitozygomatic approach, achieving complete resection and no recurrence in a patient with orbital myxoma.

Keywords:
IntraosseousMyxomaOrbit

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Area of Science:

  • Neurosurgery
  • Ophthalmology
  • Pathology

Background:

  • Intraosseous myxomas are rare, locally aggressive benign neoplasms.
  • Orbital myxomas are exceedingly rare, posing diagnostic challenges due to insidious growth.
  • These tumors have a high recurrence rate after conservative resection.

Observation:

  • A 53-year-old male presented with hyposmia and bifrontal headaches, revealing a 2.4 × 2.7 × 2.2 cm orbital lesion.
  • Biopsy confirmed a low-grade spindle cell neoplasm consistent with intraosseous myxoma.
  • The lesion involved the bony left superior and lateral orbit.

Findings:

  • Successful gross total resection of the intraosseous orbital myxoma was achieved using a left orbitozygomatic craniotomy.
  • Reconstruction involved a frontal bone autograft and titanium plating.
  • Postoperative surveillance at 6 months and 1 year showed no signs of recurrence.

Implications:

  • The orbitozygomatic approach is effective for gross total resection of intraosseous orbital myxomas.
  • Complete resection is crucial for managing these locally aggressive tumors and preventing recurrence.
  • This case contributes to the limited literature on managing rare intraosseous orbital myxomas.