The multidisciplinary management of psammomatoid ossifying fibroma of the orbit.
OBJECTIVE
To discuss the multidisciplinary management of psammomatoid ossifying fibroma (POF) of the orbit and to clarify the clinicopathologic terminology.


METHODS
The authors present a cohort of cases of POF involving the frontal and ethmoid sinuses and the orbit and discuss the nomenclature and literature.


METHODS
Three patients with POF and their treatment are discussed.


METHODS
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.


METHODS
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.


CONCLUSIONS
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.
Hartstein
M E
ME
Department of Ophthalmology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, USA.
Grove
A S
AS
Woog
J J
JJ
Shore
J W
JW
Joseph
M P
MP
D000293:Adolescent; D000328:Adult; D002648:Child; D015331:Cohort Studies; D005005:Ethmoid Sinus / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D005260:Female; D018214:Fibroma, Ossifying / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D005626:Frontal Sinus / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D009918:Orbital Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D010255:Paranasal Sinus Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D010348:Patient Care Team; D014057:Tomography, X-Ray Computed