Blanco Domínguez I, Oteiza Álvarez A V, Martínez González L M, Moreno García-Rubio B, Franco Iglesias G, Riba García J
Departamento de Oftalmología, Hospital General Universitario Gregorio Marañón, Madrid, España.
Departamento de Oftalmología, Hospital General Universitario Gregorio Marañón, Madrid, España.
Arch Soc Esp Oftalmol. 2016 Jul;91(7):349-52. doi: 10.1016/j.oftal.2016.01.025. Epub 2016 Feb 26.
A case is presented of a right frontoethmoidal osteoma with intraorbital invasion in a 43-year-old male, who was seen in the clinic with a proptosis, retro-orbital pain, peri-palpebral inflammation, and binocular diplopia due to muscular route limitation. Open surgery was performed using a subcranial approach, with removal of several fragments of osteoma. Histological analysis confirmed the diagnosis.
Osteomas are benign bone-forming tumours with slow growth. They are usually asymptomatic until mass effect complications occur in the brain or in the orbit, or locally, generating mucoceles due to sinus drainage obstruction.
本文介绍了一名43岁男性患者，患有右侧额筛骨骨瘤并侵犯眶内。该患者因眼球突出、眶后疼痛、睑周炎症以及因肌肉路径受限导致的双眼复视前来就诊。采用颅下入路进行了开放手术，切除了几块骨瘤碎片。组织学分析证实了诊断。
骨瘤是生长缓慢的良性成骨性肿瘤。它们通常无症状，直到在大脑或眼眶出现占位效应并发症，或局部因鼻窦引流受阻产生黏液囊肿。
