Abstract:

Objective   To investigate the surgical management and clinical characters of patients with orbital osteomas. Methods   We reported a case with a large orbit osteoma removed via a transcranial approach with a coronal incision. We also performed a Pubmed search and reviewed all studies published from 2003 to 2013 on orbit osteomas from a minimal cohort of 3 patients Results   6 studies, including 67 patients, were reviewed.  Among all the cases, the frontal sinus was the most common location for osteoma, followed by ethmoid sinus. Total resection were performed in 55 cases (82.1%), while partial resection in were achieved in 12 patients (17.9%), Different tumor sizes, locations, and different surgeons yielded different surgical methods, such as  transcranial approache, endoscopic removal , transorbital approaches ,and so on. Conclusion   Surgical choice depends on the tumor size, location , and the experience of the surgeon. Transcranial approach is to be indicated if a large or deep osteoma locates in the orbit where it’s difficult or impossible to expose by a conventional orbitotomy.

Key words: Orbit, Trasnscranial approach, Surgery, Osteoma