[Primary intraosseous hemangioma of the orbit: report of two cases].
Primary intraosseous hemangioma, though rarely affect the bones of the orbit, should be considered in the differential diagnosis when a patient presents an enlarging mass fixed to the bone in the orbit or signs of progressive painless proptosis. Assessing the exact site and extent of the hemangioma by means of a CT scan and MRI and establishing the vascular origin of the lesion, is critical in the therapeutical planning, since an inadequate management may result in a severe hemorrhage. Progressive proptosis and contour deformity require surgical treatment. Two cases of patients with primary intraosseus hemangioma of the supra-lateral orbital rim are reported. A bony healthy margin excision was performed, followed by immediate reconstruction of the orbit with calvarial bone grafts fixed with resorbable plates. After three-year follow-up there have not been evidence of local recurrence, and the functional and aesthetic results obtained have been very satisfactory.
Torres-Carranza
E
E
Servicio de Cirugía Oral, Hospital Universitario Virgen del Rocío, Sevilla.
García-Perla
A
A
Infante-Cossío
P
P
Acosta-Feria
M
M
Belmonte-Caro
R
R
Gutiérrez-Pérez
J L
JL
D000328:Adult; D006391:Hemangioma / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D009915:Orbit / Q000473:pathology* / Q000601:surgery; D009918:Orbital Neoplasms / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery; D019651:Plastic Surgery Procedures