Hansen Teis Schjals, Danielsson Lina Isabella, Fast Søren, Thygesen Torben H
Department of Oral and Maxillofacial Surgery, Odense University Hospital, Odense, Denmark.
Department of Otorhinolaryngology, Sydvestjysk Sygehus, Esbjerg, Denmark.
BMJ Case Rep. 2016 Feb 17;2016:bcr2015212465. doi: 10.1136/bcr-2015-212465.
We present a rare case of a 3-year-old boy with an odontogenic myxoma (OM) involving the orbita. Including our case, only nine cases of OM have been reported to involve the eye in children.There is no gold standard for treatment of OM in children with orbital involvement. The recurrence rate of OM in children seems low, which advocates for less invasive surgery. A gentle resection of the OM was carried out. The floor and medial wall of the orbit was reconstructed immediately using a non-resorbable Medpor implant with passive adaptation. Reconstruction with a Medpor implant in children has rarely been reported in the literature. No clinical or radiological recurrence was observed 24 months after surgical removal, and the patient presented with symmetric appearance and normal vision.
我们报告一例罕见的3岁男孩,患有累及眼眶的牙源性黏液瘤(OM)。包括我们的病例在内,据报道仅有9例儿童OM累及眼部。对于累及眼眶的儿童OM,尚无治疗的金标准。儿童OM的复发率似乎较低,这支持采用侵入性较小的手术。对OM进行了轻柔切除。立即使用不可吸收的Medpor植入物进行被动适配,对眼眶底和内侧壁进行了重建。儿童使用Medpor植入物进行重建在文献中鲜有报道。手术切除24个月后未观察到临床或影像学复发,且患者外观对称,视力正常。