Results
A subciliary incision was performed after local anesthesia infiltration. Periosteal flap was raised, and mass exposed (Fig 3). The mass extended from the left infraorbital foramen to orbital floor. After complete excision of the mass with safety margins, a hollow was encountered on the anterior maxillary wall and the orbital floor that measured about 1.5 × 1 × 2.5 cm3. After irrigation of the left maxillary sinus and hemostasis by bone wax, the defect was reconstructed via Medpor, which was fixed to the drilled bones with polypropylene sutures. On gross examination, the mass was a characteristically purplish-red with honeycomb appearance (Fig 3). Histopathological diagnosis of the specimen revealed intraosseous cavernous hemangioma. There seems to be no recurrence or any cosmetic deformity 28 months postoperatively (Fig 4).
Figure 3.
Intraoperative appearance of the mass being exposed.
Figure 4.
Upper row: Preoperative photographs of the patient. Lower row: Postoperative photographs of the patient.
ePlasty. 2014;14 © 2014 Open Science Company
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