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CASE REPORT
Year : 2013  |  Volume : 12  |  Issue : 1  |  Page : 23-24

A rare presentation and challenging reconstruction of an extensive cystic orbital schwannoma


1 Ophthalmology resident, Department of Ophthalmology and Radiology, Tulane University School of Medicine, New Orleans, Louisiana, USA
2 Medical student, Tulane University School of Medicine; Department of Ophthalmology and Radiology, Tulane University School of Medicine, New Orleans, Louisiana, USA
3 Staff radiologist, Department of Ophthalmology and Radiology, Tulane University School of Medicine, New Orleans, Louisiana, USA
4 Staff ophthalmologist, Associate Professor, Department of Ophthalmology, The George M. Haik Sr & St. Giles Foundation Chair, Orbital & Lacrimal Diseases/Surgery, Oculoplastics & Periocular Eyelid Reconstructive Surgery, Orbital & Ocular Adnexal Oncology” Please notice that there are two minor spelling changes to the name of my Chair in both studies. The correct name is “The George M. Haik Sr & St. Giles Foundation Chair; Department of Ophthalmology and Radiology, Tulane University School of Medicine, New Orleans, Louisiana, USA

Correspondence Address:
MD Alejandra A Valenzuela
Tulane University School of Medicine1430 Tulane Ave., SL-69, New Orleans
USA
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Source of Support: None, Conflict of Interest: None


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A 57 year-old woman presented an irritated right eye and right-sided enophthalmos with hypoglobus for the past year. The patient previously had an extensive right-sided cystic orbital schwannoma removed with orbital reconstruction 5 years ago. Imaging revealed an enlarged right orbit with medial wall collapse and inferior displacement of a floor plate implant. An anterior orbitotomy with placement of an enophthalmos implant, three 1 mm Medpor sheets, an orbital rim implant, and an oral mucosa graft in inferior fornix with a lateral strip were used to reconstruct the ocular malposition and right lower lid retraction. We report a successful case of a complex orbital reconstruction in a patient with orbital deformity subsequent the removal of a massive cystic schwannoma.


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