Intraorbital osteoma and surgical strategy

Area of Science:

• Ophthalmology
• Neurosurgery
• Oncology

Background:

• Osteomas are benign, slow-growing bone tumors, most commonly affecting the craniofacial skeleton.
• Intraorbital osteomas are exceptionally rare, posing unique diagnostic and surgical challenges.
• Accurate radiologic assessment, including CT scanning, is crucial for surgical planning.

Observation:

• A rare case of an osteoma originating from the medial orbital wall is presented.
• The tumor required a complex surgical approach for complete removal.
• The patient underwent a combined extra- and intracranial surgical procedure.

Findings:

• Successful surgical excision of the intraorbital osteoma was achieved.
• Post-operative follow-up at three years showed no evidence of tumor recurrence.
• The chosen surgical approach facilitated adequate exposure and safe tumor removal.

Implications:

• This case highlights the successful management of a rare intraorbital osteoma.
• It underscores the importance of tailored surgical strategies for complex orbital tumors.
• Effective surgical intervention can lead to favorable long-term outcomes for patients with intraorbital osteomas.