Arch Craniofac Surg.  2018 Mar;19(1):68-71. 10.7181/acfs.2018.19.1.68.

Intraosseous hemangioma of the orbit

Affiliations
  • 1Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine, Busan, Korea.
  • 2Biomedical Research Institute, Pusan National University Hospital, Busan, Korea. baeyc2@hanmail.net
  • 3Department of Pathology, Pusan National University School of Medicine, Busan, Korea.

Abstract

Intraosseous hemangioma is an extremely rare tumor that accounts for 1% or fewer of all osseous tumors. The most common sites of its occurrence are the vertebral column and calvaria. Occurrence in a facial bone is very rare. The authors aim to report a case of the surgical treatment of intraosseous hemangioma occurring in the periorbital region, which is a very rare site of occurrence and to introduce our own experiences with the diagnosis and treatment of this condition along with a literature review. A 73-year-old male patient visited our hospital with the chief complaint of a mass touching the left orbital rim. A biopsy was performed by applying a direct incision after local anesthesia. Eventually, intraosseous hemangioma was diagnosed histologically. To fully resect the mass, the orbital floor and zygoma were exposed through a subciliary incision under general anesthesia, and then the tumor was completely eliminated. Bony defect was reconstructed by performing a seventh rib bone graft. Follow-up observation has so far been conducted for 10 months after surgery without recurrence or symptoms.

Keyword

Intraosseous; Hemangioma; Orbit

MeSH Terms

Aged
Anesthesia, General
Anesthesia, Local
Biopsy
Diagnosis
Facial Bones
Follow-Up Studies
Hemangioma*
Humans
Male
Orbit*
Recurrence
Ribs
Skull
Spine
Transplants
Zygoma
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