Ossifying fibroma: A rare cause of orbital inflammation


Autoria(s): CRUZ, Antonio A. V.; ALENCAR, Victor M.; FIGUEIREDO, Ana Rosa P.; PAULA, Sheila de; EICHENBERGER, Gustavo C. D.; CHAHUD, Fernando; PEDROSA, Moises S.
Contribuinte(s)

UNIVERSIDADE DE SÃO PAULO

Data(s)

19/10/2012

19/10/2012

2008

Resumo

Purpose: To describe the clinical and radiologic features of 4 cases of ossifying fibroma affecting the orbit and to review the literature on orbital involvement by the tumor. Methods: Small case series. Results: Four patients (3 children and 1 adult) with ossifying fibromas invading the orbit were examined. Two of the 3 children were examined for ossifying fibromas on the orbital roof. One had the psammomatoid form of the disease and the other the trabecular variant. Despite striking differences in the histologic pattern and in the radiologic appearance of the lesions, both children displayed a significant degree of orbital inflammation mimicking orbital cellulitis. The third child and the adult patient had the orbit involved by trabecular ossifying fibromas invading the orbital floor. The tumor of the adult clearly originated in the maxilla, filled the maxillary sinus, and eroded the orbital floor. The tumor of the third child occupied the maxillary, ethmoid, and sphenoid sinuses. In both cases, the clinical presentation was painless eye dystopia and proptosis. Conclusions: Regardless of the histologic pattern (trabecular or psammomatoid), ossifying fibromas can induce a substantial degree of orbital inflammation in children and must be included in the differential diagnosis of acute orbital inflammation during childhood.

Identificador

OPHTHALMIC PLASTIC AND RECONSTRUCTIVE SURGERY, v.24, n.2, p.107-112, 2008

0740-9303

http://producao.usp.br/handle/BDPI/24774

10.1097/IOP.0b013e3181647cce

http://dx.doi.org/10.1097/IOP.0b013e3181647cce

Idioma(s)

eng

Publicador

LIPPINCOTT WILLIAMS & WILKINS

Relação

Ophthalmic Plastic and Reconstructive Surgery

Direitos

restrictedAccess

Copyright LIPPINCOTT WILLIAMS & WILKINS

Palavras-Chave #PARANASAL SINUSES #FIBROOSSEOUS LESIONS #INVOLVEMENT #MANAGEMENT #GRANULOMA #DIAGNOSIS #SKULL #FACE #Ophthalmology #Surgery
Tipo

article

original article

publishedVersion