PDF(Pubmed)
Abstract：
UNASSIGNED: Intraosseous hemangiomas are rare benign tumors comprising fewer than 1% of all osseous tumors; even more uncommon are intraosseous hemangiomas of the zygomatic bone. This case reports a multidisciplinary approach for excision and reconstruction of an intraosseous hemangioma of the zygomatic bone in a 54-year-old female.
UNASSIGNED: Multidisciplinary approach with both otolaryngology head and neck surgery and oculofacial plastics and reconstructive surgery included right lateral canthotomy and right transconjunctival orbitotomy with en-bloc excision of the zygomatic arch, followed by reconstruction of the orbital rim, orbital floor, and eyelid with Medpor implant.
UNASSIGNED: Final surgical pathology was consistent with intraosseous hemangioma of the zygomatic bone. At 4-month follow-up, the patient was healing well with good midface projection and without any visual deficits.
UNASSIGNED: A multidisciplinary coordinated case allowed us to meet the standard of maintaining cosmesis and function while undergoing resection of a rare tumor involving a key facial structure-the zygoma. Involvement of oculofacial plastics and reconstructive surgery service allowed for advanced eyelid reconstruction techniques to limit any functional impairment to our patient with deliberate choice of implant material for well-adhered, durable, and aesthetically optimal reconstruction of the right malar eminence, lateral orbital rim, and orbital floor defect. The postoperative result through the multidisciplinary approach was a near symmetrical facial reconstruction without any associated eyelid or globe abnormalities.
UNASSIGNED: Multidisciplinary approach with both otolaryngology head and neck surgery and oculofacial plastics and reconstructive surgery included right lateral canthotomy and right transconjunctival orbitotomy with en-bloc excision of the zygomatic arch, followed by reconstruction of the orbital rim, orbital floor, and eyelid with Medpor implant.
UNASSIGNED: Final surgical pathology was consistent with intraosseous hemangioma of the zygomatic bone. At 4-month follow-up, the patient was healing well with good midface projection and without any visual deficits.
UNASSIGNED: A multidisciplinary coordinated case allowed us to meet the standard of maintaining cosmesis and function while undergoing resection of a rare tumor involving a key facial structure-the zygoma. Involvement of oculofacial plastics and reconstructive surgery service allowed for advanced eyelid reconstruction techniques to limit any functional impairment to our patient with deliberate choice of implant material for well-adhered, durable, and aesthetically optimal reconstruction of the right malar eminence, lateral orbital rim, and orbital floor defect. The postoperative result through the multidisciplinary approach was a near symmetrical facial reconstruction without any associated eyelid or globe abnormalities.
摘要：
骨内血管瘤是罕见的良性肿瘤，占所有骨性肿瘤的不到1％；更罕见的是骨内血管瘤。该病例报告了一种多学科方法，用于切除和重建54岁女性的骨内血管瘤。
■多学科方法包括耳鼻咽喉头和颈部手术以及眼面部整形和重建手术，包括右外侧角切开术和右结膜眼眶切开术，并整块切除zy弓，接下来是轨道边缘的重建，轨道地板,和用Medpor植入物的眼睑。
■最终的手术病理与颧骨骨内血管瘤一致。在4个月的随访中，患者愈合良好，中面部投射良好，没有任何视力缺陷。
■一个多学科协调的病例使我们能够达到维持美容和功能的标准，同时接受涉及关键面部结构的罕见肿瘤-zygoma的切除。眼面部整形和重建手术服务的参与允许先进的眼睑重建技术，以限制我们的患者的任何功能损害，并故意选择植入材料以获得良好的粘附，耐用,和右马拉尔隆起的美学最佳重建，眼眶外侧边缘，和轨道地板缺陷。通过多学科方法的术后结果是几乎对称的面部重建，没有任何相关的眼睑或眼球异常。
■多学科方法包括耳鼻咽喉头和颈部手术以及眼面部整形和重建手术，包括右外侧角切开术和右结膜眼眶切开术，并整块切除zy弓，接下来是轨道边缘的重建，轨道地板,和用Medpor植入物的眼睑。
■最终的手术病理与颧骨骨内血管瘤一致。在4个月的随访中，患者愈合良好，中面部投射良好，没有任何视力缺陷。
■一个多学科协调的病例使我们能够达到维持美容和功能的标准，同时接受涉及关键面部结构的罕见肿瘤-zygoma的切除。眼面部整形和重建手术服务的参与允许先进的眼睑重建技术，以限制我们的患者的任何功能损害，并故意选择植入材料以获得良好的粘附，耐用,和右马拉尔隆起的美学最佳重建，眼眶外侧边缘，和轨道地板缺陷。通过多学科方法的术后结果是几乎对称的面部重建，没有任何相关的眼睑或眼球异常。
