Arch Craniofac Surg.
2018 Mar;19(1):68-71. 10.7181/acfs.2018.19.1.68.
Intraosseous hemangioma of the orbit
- Affiliations
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- 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.
- KMID: 2411044
- DOI: http://doi.org/10.7181/acfs.2018.19.1.68
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.
