Document Detail

Surgical strategies in the treatment of symptomatic osteomas of the orbital walls.
MedLine Citation:
PMID:  1407447     Owner:  NLM     Status:  MEDLINE    
We present a series of 19 surgically treated osteomas involving the orbital walls. Eight were localized at the junction of the frontal sinus and orbital roof, three were frontoethmoidal, two were of the orbital roof, one of the lateral wall, one of the orbital floor, and four involved all the walls of the orbit and were termed panorbital. All tumors at the junction of the frontal sinus and the orbital roof as well as those originating from the orbital roof proper were removed by frontal craniotomy. In the three that were frontoethmoidal, osteotomies were performed. Lateral and inferior orbitotomies were done when the corresponding orbital walls were affected. The four panorbital osteomas required large frontotemporal craniotomies in association with superolateral orbitotomy and zygomatic and/or malar osteotomy, when necessary. Satisfactory cosmetic and functional results were obtained in all but two cases of panorbital osteomas, in which the neurological deficit worsened after surgery. We discuss the choice of the various approaches described, with reference to the relevant literature.
P Ciappetta; R Delfini; G Iannetti; M Salvati; A Raco
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Neurosurgery     Volume:  31     ISSN:  0148-396X     ISO Abbreviation:  Neurosurgery     Publication Date:  1992 Oct 
Date Detail:
Created Date:  1992-11-20     Completed Date:  1992-11-20     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7802914     Medline TA:  Neurosurgery     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  628-34; discussion 634-5     Citation Subset:  IM    
Department of Neurological Sciences (Neurosurgery I), University of Rome La Sapienza, Italy.
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MeSH Terms
Bone Transplantation
Ethmoid Sinus / pathology,  surgery
Exophthalmos / pathology,  surgery
Follow-Up Studies
Frontal Sinus / pathology,  surgery
Magnetic Resonance Imaging
Middle Aged
Orbital Neoplasms / diagnosis,  surgery*
Osteosarcoma / diagnosis,  surgery*
Paranasal Sinus Neoplasms / diagnosis,  surgery
Postoperative Complications / diagnosis
Tomography, X-Ray Computed
Visual Acuity / physiology

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