Orbital and paranasal sinuses changes after neonatal orbital exenteration for massive teratoma management

Orbit. 2023 Oct 5:1-4. doi: 10.1080/01676830.2023.2264957. Online ahead of print.ABSTRACTA neonate at 13 days of age underwent a lid and conjunctiva-sparing orbital exenteration for a massive right orbital teratoma. To reduce the degree of orbital contraction, the entire temporalis muscle was rotated into the orbit along with a dermis-fat graft. Sequential postoperative orbital imaging showed that hyperostosis developed in the orbital apex at the age of two months. Despite a significant expansion of the fat graft, by the age of 4 years, hyperostosis had progressed to the anterior portion of the orbit associated with over-pneumatization of the paranasal sinuses. This case demonstrates that the bony changes in the orbit after neonatal exenteration are complex and involve the development of the paranasal sinuses.PMID:37798961 | DOI:10.1080/01676830.2023.2264957
Source: Orbit - Category: Opthalmology Authors: Source Type: research