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Inicio Archivos de la Sociedad Española de Oftalmología (English Edition) Frontoethmoidal osteoma with orbital extension. A case report
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Vol. 91. Issue 7.
Pages 349-352 (July 2016)
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Vol. 91. Issue 7.
Pages 349-352 (July 2016)
Short communication
Frontoethmoidal osteoma with orbital extension. A case report
Osteoma frontoetmoidal con extensión intraorbitaria. A propósito de un caso
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I. Blanco Domínguez
Corresponding author
ire_blanco@hotmail.com

Corresponding author.
, A.V. Oteiza Álvarez, L.M. Martínez González, B. Moreno García-Rubio, G. Franco Iglesias, J. Riba García
Departamento de Oftalmología, Hospital General Universitario Gregorio Marañón, Madrid, Spain
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Abstract
Case report

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.

Discussion

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.

Keywords:
Osteoma
Proptosis
Binocular diplopia
Subcranial approach
Botulinum toxin
Resumen
Caso clínico

Presentamos el caso de un osteoma frontoetmoidal derecho con invasión intraorbitaria en un varón de 43 años que comenzó como un cuadro de dolor retroocular con proptosis, inflamación peripalpebral y diplopía binocular por limitación del recorrido muscular. Se realizó cirugía abierta mediante abordaje subcraneal anterior, con extirpación de varios fragmentos de osteoma, cuyo análisis histológico confirmó el diagnóstico.

Discusión

Los osteomas son tumores benignos formadores de hueso de crecimiento lento. Habitualmente son asintomáticos, hasta que producen complicaciones por efecto masa en el cerebro o en la órbita, o a nivel local, hasta que obstruyen el drenaje del seno donde asientan, generando mucoceles.

Palabras clave:
Osteoma
Proptosis
Diplopía binocular
Abordaje subcraneal
Toxina botulínica

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