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CASE REPORT
Odontogenic myxoma involving the orbit in a 3-year-old boy: removal, reconstruction and review of the literature
  1. Teis Schjals Hansen1,
  2. Lina Isabella Danielsson2,
  3. Søren Fast3,
  4. Torben H Thygesen1
  1. 1Department of Oral and Maxillofacial Surgery, Odense University Hospital, Odense, Denmark
  2. 2Department of Otorhinolaryngology, Sydvestjysk Sygehus, Esbjerg, Denmark
  3. 3Department of Ear, Nose and Throat Surgery, Vejle Sygehus, Vejle, Denmark
  1. Correspondence to Dr Teis Schjals Hansen, teis.schjals.hansen{at}rsyd.dk

Summary

We present a rare case of a 3-year-old boy with an odontogenic myxoma (OM) involving the orbita. Including our case, only nine cases of OM have been reported to involve the eye in children.

There is no gold standard for treatment of OM in children with orbital involvement. The recurrence rate of OM in children seems low, which advocates for less invasive surgery. A gentle resection of the OM was carried out. The floor and medial wall of the orbit was reconstructed immediately using a non-resorbable Medpor implant with passive adaptation. Reconstruction with a Medpor implant in children has rarely been reported in the literature. No clinical or radiological recurrence was observed 24 months after surgical removal, and the patient presented with symmetric appearance and normal vision.

https://doi.org/10.1136/bcr-2015-212465

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