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Periorbital Bony Diseases

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Orbital Apex and Periorbital Skull Base Diseases
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Abstract

Periorbital bony diseases are rare and mostly benign. Most patients present as incidental findings, while others may complain of proptosis or visual impairment. The most common causes are benign osseous tumours such as fibrous dysplasia, meningiomas or osteomas. Malignant neoplasms such as osteosarcomas are very rare. However, tumour-like conditions like Langerhans cell histiocytosis (LCH) may occur in the orbit as a single lesion or part of a multifocal multisystem disease. Orbital LCH usually occurs in children and can be regarded as high-risk lesions for CNS involvement. Other causes in the paediatric age group can be dermoid cysts, craniosynostosis or other congenital conditions, for example, osteopetrosis and craniotubular dysplasias.

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References

  1. Lee JS, Fitzgibbon EJ, Chen YR, Kim HJ, Lustig LR, Akintoye SO, et al. Clinical guidelines for the management of craniofacial fibrous dysplasia. Orphanet J Rare Dis. 2012;7(Suppl 1):1–19.

    Article  CAS  Google Scholar 

  2. Pack SE, Al Share AA, Quereshy FA, Baur DA. Osteosarcoma of the mandible arising in fibrous dysplasia—a case report. J Oral Maxillofac Surg. 2016;74(11):2229.e1–4. https://www.sciencedirect.com/science/article/pii/S027823911630492X

    Article  PubMed  Google Scholar 

  3. Dumont AS, Boulos PT, Jane JA, Ellegala DB, Newman SA. Cranioorbital fibrous dysplasia: with emphasis on visual impairment and current surgical management. Neurosurg Focus. 2001;10(5):1–8.

    Google Scholar 

  4. Denadai R, Raposo-Amaral CA, Marques FF, Ghizoni E, Buzzo CL, Raposo-Amaral CE. Strategies for the optimal individualized surgical management of craniofacial fibrous dysplasia. Ann Plast Surg. 2016;77(2) https://journals.lww.com/annalsplasticsurgery/Fulltext/2016/08000/Strategies_for_the_Optimal_Individualized_Surgical.13.aspx:195.

    Article  CAS  PubMed  Google Scholar 

  5. Cutler CM, Lee JS, Butman JA, FitzGibbon EJ, Kelly MH, Brillante BA, et al. Long-term outcome of optic nerve encasement and optic nerve decompression in patients with fibrous dysplasia: risk factors for blindness and safety of observation. Neurosurgery. 2006;59(5):1011–8. https://doi.org/10.1227/01.NEU.0000254440.02736.E3.

    Article  PubMed  Google Scholar 

  6. Edelstein C, Goldberg RA, Rubino G. Unilateral blindness after ipsilateral prophylactic transcranial optic canal decompression for fibrous dysplasia. Am J Ophthalmol. 1998;126(3):469–71. https://www.sciencedirect.com/science/article/pii/S0002939498001184

    Article  CAS  PubMed  Google Scholar 

  7. Chen Y-R, Breidahl A, Chang C-N. Optic nerve decompression in fibrous dysplasia: indications, efficacy, and safety. Plast Reconstr Surg. 1997;99(1):22–30.

    Article  CAS  PubMed  Google Scholar 

  8. Samadian M, Sharifi G, Mousavinejad SA, Amin AA, Ebrahimzadeh K, Tavassol HH, et al. Surgical outcomes of sphenoorbital en plaque meningioma: a 10-year experience in 57 consecutive cases. World Neurosurg. 2020;144:e576–81.

    Article  PubMed  Google Scholar 

  9. Mirone G, Chibbaro S, Schiabello L, Tola S, George B. En plaque sphenoid wing meningiomas: recurrence factors and surgical strategy in a series of 71 patients. Oper Neurosurg. 2009;65(Suppl_6):ons100–9. https://doi.org/10.1227/01.NEU.0000345652.19200.D5.

    Article  Google Scholar 

  10. Sade B, Lee JH. High incidence of optic canal involvement in clinoidal meningiomas: rationale for aggressive skull base approach. Acta Neurochir (Wien). 2008;150(11):1127–32.

    Article  PubMed  Google Scholar 

  11. Ringel F, Cedzich C, Schramm J. Microsurgical technique and results of a series of 63 spheno-orbital meningiomas. Oper Neurosurg. 2007;60(Suppl_4):ONS-214–22. https://doi.org/10.1227/01.NEU.0000255415.47937.1A.

    Article  Google Scholar 

  12. Cristante L. Surgical treatment of meningiomas of the orbit and optic canal: a retrospective study with particular attention to the visual outcome. Acta Neurochir (Wien). 1994;126(1):27–32. https://doi.org/10.1007/BF01476490.

    Article  CAS  PubMed  Google Scholar 

  13. Nakamura M, Roser F, Jacobs C, Vorkapic P, Samii M. Medial sphenoid wing meningiomas: clinical outcome and recurrence rate. Neurosurgery. 2006;58(4):626–39. https://doi.org/10.1227/01.NEU.0000197104.78684.5D.

    Article  PubMed  Google Scholar 

  14. Simas N, Farias J. Sphenoid wing en plaque meningiomas: surgical results and recurrence rates. Surg Neurol Int. 2013;4(1):86.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Maroon JC, Kennerdell JS, Vidovich DV, Abla A, Sternau L. Recurrent spheno-orbital meningioma. J Neurosurg. 1994;80(2):202–8. https://thejns.org/view/journals/j-neurosurg/80/2/article-p202.xml

    Article  CAS  PubMed  Google Scholar 

  16. Friedrich RE. Long-term follow-up control of pedunculated orbital floor osteoma, becoming symptomatic by atypical facial pain. In Vivo (Brooklyn). 2009;23(1):117–22.

    Google Scholar 

  17. Van De Voorde N, Mortier GR, Vanhoenacker FM. Fibrous dysplasia, Paget’s disease of bone, and other uncommon sclerotic bone lesions of the craniofacial bones. Semin Musculoskelet Radiol. 2020;24(5):570–8.

    Article  PubMed  Google Scholar 

  18. Ma’luf RN, Ghazi NG, Zein WM, Gedeon GA, Hadi UM. Orbital osteoma arising adjacent to a foreign body. Ophthalmic Plast Reconstr Surg. 2003;19(4):327–30.

    Article  PubMed  Google Scholar 

  19. Smud D, Augustin G, Kekez T, Kinda E, Majerovic M, Jelincic Z. Gardner’s syndrome: genetic testing and colonoscopy are indicated in adolescents and young adults with cranial osteomas: a case report. World J Gastroenterol. 2007;13(28):3900.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Izci Y. Management of the large cranial osteoma: experience with 13 adult patients. Acta Neurochir. 2005;147(11):1151–5.

    Article  CAS  PubMed  Google Scholar 

  21. Sahin A, Yildirim N, Cingi E, Atasoy MA. Frontoethmoid sinus osteoma as a cause of subperiosteal orbital abscess. Adv Ther. 2007;24(3):571–4. https://doi.org/10.1007/BF02848779.

    Article  PubMed  Google Scholar 

  22. Turri-Zanoni M, Dallan I, Terranova P, Battaglia P, Karligkiotis A, Bignami M, et al. Frontoethmoidal and intraorbital osteomas. Arch Otolaryngol Neck Surg. 2012;138(5):498.

    Article  Google Scholar 

  23. Mulhern M, Kirkpatrick N, Joshi N, Vijh V, Coghlan B, Waterhouse N. Endoscopic removal of periorbital lesions. Orbit. 2002;21(4):263–9.

    Article  CAS  PubMed  Google Scholar 

  24. Miman MC, Bayindir T, Akarcay M, Erdem T, Selimoglu E. Endoscopic removal technique of a huge ethmoido-orbital osteoma. J Craniofac Surg. 2009;20(5) https://journals.lww.com/jcraniofacialsurgery/Fulltext/2009/09000/Endoscopic_Removal_Technique_of_a_Huge.22.aspx:1403.

    Article  PubMed  Google Scholar 

  25. Huang Y, Zhu X, Liu Y. Nasal endoscopic surgery for osteoid osteoma of the periorbital skull base: a case report. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2016;30(3):254–5. http://europepmc.org/abstract/MED/27373105

    Google Scholar 

  26. Muderris T, Bercin S, Sevil E, Kiris M. Endoscopic removal of a giant ethmoid osteoma with orbital extension. Acta Inform Med. 2012;20(4):266–8. https://pubmed.ncbi.nlm.nih.gov/23378698

    Article  PubMed  PubMed Central  Google Scholar 

  27. Ahuja R, Azar NF. Orbital dermoids in children. Semin Ophthalmol. 2006;21(3):207–11.

    Article  PubMed  Google Scholar 

  28. Lane CM, Ehrlich WW, Wright JE. Orbital dermoid cyst. Eye. 1987;1(4):504–11.

    Article  PubMed  Google Scholar 

  29. Gabibov GA, Sokolova ON, Cherekaev VA, Parfenova ND, KhIu S. Dermoid cysts of the orbit spreading into the cranial cavity. Zhurnal Vopr neirokhirurgii Im NN Burdenko. 1989;5:49–51.

    Google Scholar 

  30. Vahdani K, Rose GE. Presentation and treatment of deep orbital dermoid cysts. Ophthalmology. 2020;127(9):1276–8.

    Article  PubMed  Google Scholar 

  31. Cavazza S, Laffi GL, Lodi L, Gasparrini E, Tassinari G. Orbital dermoid cyst of childhood: clinical pathologic findings, classification and management. Int Ophthalmol. 2011;31(2):93–7.

    Article  PubMed  Google Scholar 

  32. Wells TS, Harris GJ. Orbital dermoid cyst and sinus tract presenting with acute infection. Ophthalmic Plast Reconstr Surg. 2004;20(6):465–7.

    Article  PubMed  Google Scholar 

  33. Lakatos K, Sterlich K, Pötschger U, Thiem E, Hutter C, Prosch H, et al. Langerhans cell histiocytosis of the orbit: spectrum of clinical and imaging findings. J Pediatr. 2021;230:174–181.e1.

    Article  PubMed  Google Scholar 

  34. Gündüz K, Palamar M, Parmak N, Kuzu I. Eosinophilic granuloma of the orbit: report of two cases. J Am Assoc Pediatr Ophthalmol Strabismus. 2007;11(5):506–8.

    Article  Google Scholar 

  35. Yan J, Zhou S, Li Y. Benign orbital tumors with bone destruction in children. PLoS One. 2012;7(2):e32111.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  36. Harris GJ, Woo KI, Haik BG, Elner VM. Eosinophilic granuloma of the orbit: a paradox of aggressive destruction responsive to minimal intervention. Trans Am Ophthalmol Soc. 2003;101:93–105.

    PubMed  PubMed Central  Google Scholar 

  37. Broadbent V, Gadner H. Current therapy for Langerhans cell histiocytosis. Hematol Oncol Clin North Am. 1998;12(2):327–38.

    Article  CAS  PubMed  Google Scholar 

  38. Glover AT, Grove AS. Eosinophilic granuloma of the orbit with spontaneous healing. Ophthalmology. 1987;94(8):1008–12.

    Article  CAS  PubMed  Google Scholar 

  39. Erly WK, Carmody RF, Dryden RM. Orbital histiocytosis X. Am J Neuroradiol. 1995;16(6):1258–61.

    CAS  PubMed  PubMed Central  Google Scholar 

  40. Moore AT, Pritchard J, Taylor DSL. Histiocytosis X: an ophthalmological review. Br J Ophthalmol. 1985;69(1):7–14.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  41. Vosoghi H, Rodriguez-Galindo C, Wilson MW. Orbital involvement in Langerhans cell histiocytosis. Ophthalmic Plast Reconstr Surg. 2009;25(6):430–3.

    Article  PubMed  Google Scholar 

  42. Herwig MC, Wojno T, Zhang Q, Grossniklaus HE. Langerhans cell histiocytosis of the orbit: five clinicopathologic cases and review of the literature. Surv Ophthalmol. 2013;58(4):330–40.

    Article  PubMed  Google Scholar 

  43. Grois N, Prayer D, Prosch H, Lassmann H. Neuropathology of CNS disease in Langerhans cell histiocytosis. Brain. 2005;128(4):829–38.

    Article  PubMed  Google Scholar 

  44. Sharma RK. Craniosynostosis. Indian J Plast Surg. 2013;46(1):18–27. https://pubmed.ncbi.nlm.nih.gov/23960302

    Article  PubMed  PubMed Central  Google Scholar 

  45. Bender CA, Veneman W, Veenland JF, Mathijssen IMJ, Hop WCJ, Koudstaal MJ, et al. Orbital aspects following monobloc advancement in syndromic craniosynostosis. J Cranio-Maxillofacial Surg. 2013;41(7):e146–53.

    Article  Google Scholar 

  46. Meling TR, Due-Tønnessen BJ, Høgevold HE, Skjelbred P, Arctander K. Monobloc distraction osteogenesis in pediatric patients with severe syndromal craniosynostosis. J Craniofac Surg. 2004;15(6) https://journals.lww.com/jcraniofacialsurgery/Fulltext/2004/11000/Monobloc_Distraction_Osteogenesis_in_Pediatric.20.aspx:990.

    Article  PubMed  Google Scholar 

  47. Esparza J, Hinojosa J. Complications in the surgical treatment of craniosynostosis and craniofacial syndromes: apropos of 306 transcranial procedures. Childs Nerv Syst. 2008;24(12):1421–30.

    Article  PubMed  Google Scholar 

  48. Al-Namnam NMN, Hariri F, Rahman ZAA. Distraction osteogenesis in the surgical management of syndromic craniosynostosis: a comprehensive review of published papers. Br J Oral Maxillofac Surg. 2018;56(5):353–66. https://www.sciencedirect.com/science/article/pii/S0266435618300822

    Article  CAS  PubMed  Google Scholar 

  49. Dunaway DJ, Britto JA, Abela C, Evans RD, Jeelani NUO. Complications of frontofacial advancement. Childs Nerv Syst. 2012;28(9):1571–6.

    Article  PubMed  Google Scholar 

  50. Wall SA, Goldin JH, Hockley AD, Wake MJC, Poole MD, Briggs M. Fronto-orbital re-operation in craniosynostosis. Br J Plast Surg. 1994;47(3):180–4. https://www.sciencedirect.com/science/article/pii/0007122694900515

    Article  CAS  PubMed  Google Scholar 

  51. Manni JJ, Scaf JJ, Huygen PLM, Cruysberg JRM, Verhagen WIM. Hyperostosis cranialis interna. N Engl J Med. 1990;322(7):450–4. https://doi.org/10.1056/NEJM199002153220707.

    Article  CAS  PubMed  Google Scholar 

  52. Stark Z, Savarirayan R. Osteopetrosis. Orphanet J Rare Dis. 2009;4(1):1–12.

    Article  Google Scholar 

  53. Shapiro F. Osteopetrosis. Current clinical considerations. Clin Orthop Relat Res. 1993;294:34–44. http://europepmc.org/abstract/MED/8358940

    Article  Google Scholar 

  54. Mehta M, Pushker N, Sethi S, Bajaj MS, Sharma S, Rajesh R, et al. Oculo–orbital manifestations of osteopetrosis in an Indian patient. Ann Trop Med Parasitol. 2010;104(3):275–81. https://doi.org/10.1179/136485910X12647085215697.

    Article  CAS  PubMed  Google Scholar 

  55. Al-Mefty O, Fox JL, Al-Rodhan N, Dew JH. Optic nerve decompression in osteopetrosis. J Neurosurg. 1988;68(1):80–4. https://thejns.org/view/journals/j-neurosurg/68/1/article-p80.xml

    Article  CAS  PubMed  Google Scholar 

  56. Hwang J-M, Kim I-O, Wang K-C. Complete visual recovery in osteopetrosis by early optic nerve decompression. Pediatr Neurosurg. 2000;33(6):328–32. https://doi.org/10.1159/000055980.

    Article  CAS  PubMed  Google Scholar 

  57. Haines SJ, Erickson DL, Wirtschafter JD. Optic nerve decompression for osteopetrosis in early childhood. Neurosurgery. 1988;23(4):470–5. https://doi.org/10.1227/00006123-198810000-00011.

    Article  CAS  PubMed  Google Scholar 

  58. Waterval JJ, van Dongen TM, Stokroos RJ, De Bondt B-J, Chenault MN, Manni JJ. Imaging features and progression of hyperostosis cranialis interna. Am J Neuroradiol. 2012;33(3):453–61. http://www.ajnr.org/content/33/3/453.abstract

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  59. Waterval JJ, Stokroos RJ, Bauer NJC, De Bondt RBJ, Manni JJ. Phenotypic manifestations and management of hyperostosis cranialis interna, a hereditary bone dysplasia affecting the calvaria and the skull base. Am J Med Genet Part A. 2010;152A(3):547–55. https://doi.org/10.1002/ajmg.a.33205.

    Article  CAS  PubMed  Google Scholar 

  60. Hershkovitz I, Greenwald C, Rothschild BM, Latimer B, Dutour O, Jellema LM, et al. Hyperostosis frontalis interna: an anthropological perspective. Am J Phys Anthropol. 1999;109(3):303–25.

    Article  CAS  PubMed  Google Scholar 

  61. Kirby K, Wright JE. Infantile cortical hyperostosis (Caffey disease). StatPearls; 2018.

    Google Scholar 

  62. Caffey J. Infantile cortical hyperostosis; a review of the clinical and radiographic features. Proc R Soc Med. 1957;50(5):347–54. https://pubmed.ncbi.nlm.nih.gov/13431894

    CAS  PubMed  PubMed Central  Google Scholar 

  63. Kamoun-Goldrat A, le Merrer M. Infantile cortical hyperostosis (Caffey disease): a review. J Oral Maxillofac Surg. 2008;66(10):2145–50.

    Article  PubMed  Google Scholar 

  64. Rogosin A, Monos T, Shulman H, Shoham A, Lifshitz T. Caffey-Silverman syndrome (infantile cortical hyperostosis) mimicking periorbital cellulitis. J Pediatr Ophthalmol Strabismus. 1999;36:40.

    Article  CAS  PubMed  Google Scholar 

  65. Boyd RD, Shaw DG, Thomas BM. Infantile cortical hyperostosis with lytic lesions in the skull renal cortical necrosis in an infant. Blood Cells. 1970;48(6):57–9.

    Google Scholar 

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Chow, S.W.J. (2023). Periorbital Bony Diseases. In: POON, T.L., MAK, C., YUEN, H.K.L. (eds) Orbital Apex and Periorbital Skull Base Diseases. Springer, Singapore. https://doi.org/10.1007/978-981-99-2989-4_14

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