Extended Endonasal Endoscopic Complete Resection of a Solitary Intraorbital Myofibroma: A Case Report and Literature Review
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Elsevier Inc.
Abstract
Background: Infantile myofibromatosis is a rare benign disease of mesenchymal origin. It occurs mostly in infants but can occur in children and adults. It presents in 2 forms: solitary and multicentric. The presence of an orbital component, whether as a solitary lesion or as part of the multicentric disease, is even rarer. Surgery is required when these tumors behave aggressively and grow rapidly or when they are large enough to cause compression symptoms. Several surgical approaches have been described to resect such lesions. Case Description: We present a case of a solitary intraorbital myofibroma extending into the optic canal in a 6-year-old girl that was completely resected via an extended endonasal endoscopic approach. Conclusions: This case report highlights the advantages of the extended endonasal endoscopic approach in terms of intraoperative and postoperative factors. © 2019 Elsevier Inc.
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Endoscopic, Intraorbital, Myofibroma, Child, Diagnosis, differential, Endoscopy, Female, Humans, Magnetic resonance imaging, Nasal cavity, Neurosurgical procedures, Orbital neoplasms, Tomography, x-ray computed, Treatment outcome, Contrast medium, Ki 67 antigen, Oxidized regenerated cellulose, Afferent pupillary defect, Article, Best corrected visual acuity, Case report, Clinical article, Contrast enhancement, Differential diagnosis, Disease duration, Divergent strabismus, Endonasal endoscopic complete resection, Endoscopic endonasal surgery, Eye movement, Human, Human cell, Immunohistochemistry, Leiomyoma, Nerve sheath tumor, Neuroimaging, Nuclear magnetic resonance imaging, Optic nerve pallor, Optical coherence tomography, Pallor, Postoperative period, Preoperative evaluation, Preschool child, Solitary intraorbital myofibroma, Diagnostic imaging, Neurosurgery, Nose cavity, Orbit tumor, Pathology, Procedures, X-ray computed tomography