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Updated: Aug 9, 2026

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Published on: July 5, 2021
The multidisciplinary management of psammomatoid ossifying fibroma of the orbit
M E Hartstein1, A S Grove, J J Woog
1Department of Ophthalmology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, USA.
Objective:
To discuss the multidisciplinary management of psammomatoid ossifying fibroma (POF) of the orbit and to clarify the clinicopathologic terminology.
Design:
The authors present a cohort of cases of POF involving the frontal and ethmoid sinuses and the orbit and discuss the nomenclature and literature.
Participants:
Three patients with POF and their treatment are discussed.
Intervention:
Patients were worked up and treated by a multidisciplinary team using imaging studies and histopathologic analysis. Reconstruction, if necessary, was carried out at the time of excision or in a second-stage procedure.
Main Outcome Measures:
In each case, the lesion was completely excised and has not recurred.
Results:
The diagnosis of POF was made in each case, and the patient underwent successful resection of the tumor.
Conclusion:
The authors' experience suggests that a multidisciplinary approach, including a radiologist, pathologist, neurosurgeon, otolaryngologist, craniofacial surgeon, and orbital specialist, may be useful in the evaluation and management of these lesions.

