Fibrous dysplasia of the orbit in childhood: clinical features and management
In 16 children with orbitocranial fibrous dysplasia confirmed histopathologically, facial asymmetry, orbital dystopia, and unilateral proptosis were the main presenting problems. Five children had radiological evidence of narrowing of the optic canal but only two developed optic atrophy and visual l...
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| Veröffentlicht in: | Ophthalmology (Rochester, MN) MN), 1985, Vol.92 (1), p.12-20 |
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| container_title | Ophthalmology (Rochester, MN) |
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| creator | MOORE, A. T BUNCIC, J. R MUNRO, I. R |
| description | In 16 children with orbitocranial fibrous dysplasia confirmed histopathologically, facial asymmetry, orbital dystopia, and unilateral proptosis were the main presenting problems. Five children had radiological evidence of narrowing of the optic canal but only two developed optic atrophy and visual loss. One patient had persistent epiphora due to involvement of the bony nasolacrimal duct. Sixteen patients were treated by excision of the dysplastic bone and 15 had immediate craniofacial reconstruction. A good cosmetic and functional result was achieved in the majority of cases although transient vertical diplopia and minor degrees of ptosis occurred postoperatively in about a third. Fibrous dysplasia of the orbit is progressive in childhood and is best managed by radical surgery and reconstruction in a specialized craniofacial unit. |
| doi_str_mv | 10.1016/S0161-6420(85)34071-X |
| format | Article |
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T ; BUNCIC, J. R ; MUNRO, I. R</creator><creatorcontrib>MOORE, A. T ; BUNCIC, J. R ; MUNRO, I. R</creatorcontrib><description>In 16 children with orbitocranial fibrous dysplasia confirmed histopathologically, facial asymmetry, orbital dystopia, and unilateral proptosis were the main presenting problems. Five children had radiological evidence of narrowing of the optic canal but only two developed optic atrophy and visual loss. One patient had persistent epiphora due to involvement of the bony nasolacrimal duct. Sixteen patients were treated by excision of the dysplastic bone and 15 had immediate craniofacial reconstruction. A good cosmetic and functional result was achieved in the majority of cases although transient vertical diplopia and minor degrees of ptosis occurred postoperatively in about a third. Fibrous dysplasia of the orbit is progressive in childhood and is best managed by radical surgery and reconstruction in a specialized craniofacial unit.</description><identifier>ISSN: 0161-6420</identifier><identifier>EISSN: 1549-4713</identifier><identifier>DOI: 10.1016/S0161-6420(85)34071-X</identifier><identifier>PMID: 3974991</identifier><identifier>CODEN: OPHTDG</identifier><language>eng</language><publisher>New York, NY: Elsevier</publisher><subject>Adolescent ; Biological and medical sciences ; Child ; Child, Preschool ; Exophthalmos - surgery ; Female ; Fibrous Dysplasia of Bone - pathology ; Fibrous Dysplasia of Bone - surgery ; Fibrous Dysplasia, Polyostotic - surgery ; Follow-Up Studies ; Humans ; Male ; Maxillary Diseases - surgery ; Medical sciences ; Ophthalmology ; Ophthalmoplegia - etiology ; Optic Atrophy - surgery ; Orbit - pathology ; Orbit - surgery ; Orbit diseases ; Orbital Diseases - pathology ; Orbital Diseases - surgery ; Postoperative Complications - etiology ; Recurrence</subject><ispartof>Ophthalmology (Rochester, MN), 1985, Vol.92 (1), p.12-20</ispartof><rights>1985 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>310,311,315,781,785,790,791,4051,4052,23935,23936,25145,27929,27930</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=9058554$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/3974991$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>MOORE, A. T</creatorcontrib><creatorcontrib>BUNCIC, J. R</creatorcontrib><creatorcontrib>MUNRO, I. R</creatorcontrib><title>Fibrous dysplasia of the orbit in childhood: clinical features and management</title><title>Ophthalmology (Rochester, MN)</title><addtitle>Ophthalmology</addtitle><description>In 16 children with orbitocranial fibrous dysplasia confirmed histopathologically, facial asymmetry, orbital dystopia, and unilateral proptosis were the main presenting problems. Five children had radiological evidence of narrowing of the optic canal but only two developed optic atrophy and visual loss. One patient had persistent epiphora due to involvement of the bony nasolacrimal duct. Sixteen patients were treated by excision of the dysplastic bone and 15 had immediate craniofacial reconstruction. A good cosmetic and functional result was achieved in the majority of cases although transient vertical diplopia and minor degrees of ptosis occurred postoperatively in about a third. Fibrous dysplasia of the orbit is progressive in childhood and is best managed by radical surgery and reconstruction in a specialized craniofacial unit.</description><subject>Adolescent</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Exophthalmos - surgery</subject><subject>Female</subject><subject>Fibrous Dysplasia of Bone - pathology</subject><subject>Fibrous Dysplasia of Bone - surgery</subject><subject>Fibrous Dysplasia, Polyostotic - surgery</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Male</subject><subject>Maxillary Diseases - surgery</subject><subject>Medical sciences</subject><subject>Ophthalmology</subject><subject>Ophthalmoplegia - etiology</subject><subject>Optic Atrophy - surgery</subject><subject>Orbit - pathology</subject><subject>Orbit - surgery</subject><subject>Orbit diseases</subject><subject>Orbital Diseases - pathology</subject><subject>Orbital Diseases - surgery</subject><subject>Postoperative Complications - etiology</subject><subject>Recurrence</subject><issn>0161-6420</issn><issn>1549-4713</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1985</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9j01LxDAURYMo4zj6EwayENFFNa9JmtadDI4KIy5UcFdeX1In0o-xaRfz7y1YZnPv4h4uHMaWIG5BQHL3PgZEiYrFdapvpBIGoq8jNgetskgZkMdsfkBO2VkIP0KIJJFqxmYyMyrLYM5e177o2iFwuw-7CoNH3pa83zredoXvuW84bX1lt21r7zlVvvGEFS8d9kPnAsfG8hob_Ha1a_pzdlJiFdzF1Av2uX78WD1Hm7enl9XDJtrFUveRKySBA4OQIiUSJKiytKBNqZTENCajUgKKLZAQaMCJVBGJJLbkNBDKBbv6_9117e_gQp_XPpCrKmzcKJObRAgTpzCCywkcitrZfNf5Grt9PvmP--W0Yxi9yg4b8uGAZUKnWiv5B_APan4</recordid><startdate>1985</startdate><enddate>1985</enddate><creator>MOORE, A. T</creator><creator>BUNCIC, J. R</creator><creator>MUNRO, I. R</creator><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>1985</creationdate><title>Fibrous dysplasia of the orbit in childhood: clinical features and management</title><author>MOORE, A. T ; BUNCIC, J. R ; MUNRO, I. R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p235t-eb3c1e17a18ac631314ffd157f443a82c748c1c2d1c00a71e084cc062dce51ca3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1985</creationdate><topic>Adolescent</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Exophthalmos - surgery</topic><topic>Female</topic><topic>Fibrous Dysplasia of Bone - pathology</topic><topic>Fibrous Dysplasia of Bone - surgery</topic><topic>Fibrous Dysplasia, Polyostotic - surgery</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Male</topic><topic>Maxillary Diseases - surgery</topic><topic>Medical sciences</topic><topic>Ophthalmology</topic><topic>Ophthalmoplegia - etiology</topic><topic>Optic Atrophy - surgery</topic><topic>Orbit - pathology</topic><topic>Orbit - surgery</topic><topic>Orbit diseases</topic><topic>Orbital Diseases - pathology</topic><topic>Orbital Diseases - surgery</topic><topic>Postoperative Complications - etiology</topic><topic>Recurrence</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>MOORE, A. T</creatorcontrib><creatorcontrib>BUNCIC, J. R</creatorcontrib><creatorcontrib>MUNRO, I. R</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Ophthalmology (Rochester, MN)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>MOORE, A. T</au><au>BUNCIC, J. R</au><au>MUNRO, I. R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Fibrous dysplasia of the orbit in childhood: clinical features and management</atitle><jtitle>Ophthalmology (Rochester, MN)</jtitle><addtitle>Ophthalmology</addtitle><date>1985</date><risdate>1985</risdate><volume>92</volume><issue>1</issue><spage>12</spage><epage>20</epage><pages>12-20</pages><issn>0161-6420</issn><eissn>1549-4713</eissn><coden>OPHTDG</coden><abstract>In 16 children with orbitocranial fibrous dysplasia confirmed histopathologically, facial asymmetry, orbital dystopia, and unilateral proptosis were the main presenting problems. Five children had radiological evidence of narrowing of the optic canal but only two developed optic atrophy and visual loss. One patient had persistent epiphora due to involvement of the bony nasolacrimal duct. Sixteen patients were treated by excision of the dysplastic bone and 15 had immediate craniofacial reconstruction. A good cosmetic and functional result was achieved in the majority of cases although transient vertical diplopia and minor degrees of ptosis occurred postoperatively in about a third. Fibrous dysplasia of the orbit is progressive in childhood and is best managed by radical surgery and reconstruction in a specialized craniofacial unit.</abstract><cop>New York, NY</cop><pub>Elsevier</pub><pmid>3974991</pmid><doi>10.1016/S0161-6420(85)34071-X</doi><tpages>9</tpages></addata></record> |
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| ispartof | Ophthalmology (Rochester, MN), 1985, Vol.92 (1), p.12-20 |
| issn | 0161-6420 1549-4713 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Adolescent Biological and medical sciences Child Child, Preschool Exophthalmos - surgery Female Fibrous Dysplasia of Bone - pathology Fibrous Dysplasia of Bone - surgery Fibrous Dysplasia, Polyostotic - surgery Follow-Up Studies Humans Male Maxillary Diseases - surgery Medical sciences Ophthalmology Ophthalmoplegia - etiology Optic Atrophy - surgery Orbit - pathology Orbit - surgery Orbit diseases Orbital Diseases - pathology Orbital Diseases - surgery Postoperative Complications - etiology Recurrence |
| title | Fibrous dysplasia of the orbit in childhood: clinical features and management |
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