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Recurrent Infraorbital Rim Osteoma in a Pediatric Patient: A Brief Report
Ersin Kiliç1, Hasan Murat Ergani, Büşra Taş Efe
1Department of Plastic, Reconstructive and Aesthetic Surgery, Ankara Bilkent City Hospital, Ankara, Turkey.
The Journal of Craniofacial Surgery
|May 11, 2026
Summary
Recurrent orbital osteomas in children are rare. This case highlights a pediatric infraorbital rim osteoma that recurred after initial excision, emphasizing the need for thorough removal and long-term follow-up.
Area of Science:
- Oncology
- Ophthalmology
- Pediatric Surgery
Background:
- Orbital osteomas are rare benign bone tumors.
- Infraorbital rim involvement is uncommon, especially in pediatric patients.
- Recurrence after surgical excision is infrequently reported.
Purpose of the Study:
- To report a rare case of a recurrent infraorbital rim osteoma in a pediatric patient.
- To discuss the implications for surgical management and follow-up of such rare tumors.
Main Methods:
- Case presentation of a 14-year-old boy with a recurrent infraorbital osteoma.
- Clinical examination and computed tomography (CT) imaging.
- Surgical re-excision via a subciliary approach and histopathologic confirmation.
Main Results:
- A recurrent, well-defined, hyperdense bony lesion of the left infraorbital rim was identified.
- Histopathology confirmed a compact osteoma.
- No recurrence was observed during the follow-up period after re-excision.
Conclusions:
- Pediatric infraorbital rim osteomas can recur even after reported complete excision.
- Complete removal, including periosteal attachments, is crucial.
- Long-term clinical and radiological surveillance is recommended for pediatric patients with these tumors.
