Case Peport, Chronic Subperiosteal Hematic Cyst Formation Twelve Years After Orbital Fracture Repair with Alloplastic Orbital Floor Implant

Glavas, Ioannis P.; Lissauer, Boaz J.; Hornblass, Albert

doi:10.1080/01676830590892907

Cited by 18 publications

(10 citation statements)

References 11 publications

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“…Most implants were smooth alloplastic materials, such as silicone, nylon foil, and polytetrafluoroethylene. 8 , 12 , 13 , 14 Unlike lesions in the superior and superotemporal orbit, lesions along the orbital floor were not characterized by bony erosion or expansion. The lack of bony involvement may be related either to the initial loss of bone in the trauma or the implant itself acting as a barrier to bone changes from an expansile hemorrhage.…”

Section: Discussionmentioning

confidence: 99%

“…Lesions found along the orbital floor represent 6% (11 patients) of all cases, and all were associated with prior orbital fracture repair with an implant. Most implants were smooth alloplastic materials, such as silicone, nylon foil, and polytetrafluoroethylene 8 , 12, 13, 14. Unlike lesions in the superior and superotemporal orbit, lesions along the orbital floor were not characterized by bony erosion or expansion.…”

Section: Discussionmentioning

confidence: 99%

“…Despite this, the terms “hematic cyst” and “cholesterol granuloma” both continue to pervade the literature, leading to confusion, fragmented descriptions, and incomplete characterization of this synonymous lesion. 1 , 7 , 8 , 9 We report a case of an orbital cholesterol granuloma and discuss characteristic findings and presentations for this entity after reviewing all reported cases in the literature to date under its various nomenclatures.…”

Section: Introductionmentioning

confidence: 99%

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Orbital cholesterol granuloma: A report and discussion of orbital findings

Rong

Erickson

Blessing

et al. 2019

American Journal of Ophthalmology Case Reports

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Purpose To report a case of orbital cholesterol granuloma and discuss the orbital findings seen in this entity. Observation A 38-year-old male presented with an 8-month history of progressive left upper lid ptosis and hypoglobus. Clinical examination was significant for 3 mm of hypoglobus and restricted supraduction in the left eye. Contrasted computed tomography imaging revealed a well-circumscribed lesion in the superotemporal orbit causing extensive bone erosion that appeared to arise from the lacrimal gland. An incisional biopsy was performed, and histopathological evaluation demonstrated fibrovascular tissue surrounding a mixture of histiocytes and cholesterol clefts, consistent with a cholesterol granuloma. Conclusions and importance Orbital cholesterol granulomas are rare lesions that are predominantly found in the superotemporal orbit. These lesions can be associated with marked bony changes in the superotemporal fossa that can be mistaken for a lacrimal gland neoplasm; however, bony erosion is a hallmark of this lesion and should be considered on the differential diagnosis of any lacrimal gland mass with extensive bony erosion.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Orbital cholesterol granuloma: A report and discussion of orbital findings

Rong

Erickson

Blessing

et al. 2019

American Journal of Ophthalmology Case Reports

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“…On the other hand, there is a well-known relationship of hematic cyst with orbital floor fracture where many studies documented hematic cysts development after orbital fractures repair. Formation of these cyst around orbital implants have been noted and some were symptomatic 5 years after surgical repair 9, 10, 11…”

Section: Discussionmentioning

confidence: 99%

Clinical, radiological and histopathological characteristics of surgically removed orbital hematic cysts: A case series

Alkatan

Alotaibi

Maktabi

et al. 2018

Saudi Journal of Ophthalmology

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Hematic cyst is a challenging clinical diagnosis that can be aided by radiological examination and histopathological confirmation. Trauma does not seem to play a major role while presence of a pre-existing vascular lesion with spontaneous hemorrhage may be an etiologic factor. Associated cholesterol granuloma is an interesting controversial finding. Surgical intervention is curative with possible persisting motility disturbance and/or the eye deviation and worse prognosis in post-traumatic cases.

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“…Hematic pseudocysts are fibrous, nonepithelial lined capsules containing blood byproducts [ 1 ]. They have been referred to as “hematic cysts” or “chocolate cysts,” though they are not true cysts given their lack of an epithelial lining.…”

Section: Introductionmentioning

confidence: 99%

Hematic Pseudocyst Masquerading as Orbital Cellulitis and Sinusitis

Larochelle¹,

Levitt²,

Liao³

2022

Case Rep Ophthalmol

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Hematic pseudocysts are fibrous, nonepithelial lined capsules containing blood byproducts that typically present remotely following orbital fracture hardware implantation. Trauma, implant migration, and tissue erosion are believed to cause hemorrhage to pool within the capsular space. Risk factors include inadequate posterior fracture reduction and use of nonporous material which prevents fibrovascular ingrowth and stabilization. Mass effect from these lesions may cause patients to present with pain, lid swelling, hyperglobus, proptosis, lid retraction, motility restriction, or blurry vision. Pseudocysts associated with fracture hardware have been misdiagnosed as tumors or in one prior case as an infection. Herein we report a unique case of hematic pseudocyst masquerading as orbital cellulitis with maxillary sinusitis. A 59-year-old man presented with periorbital pain, hyperglobus, proptosis, and ptosis 2 years after repair of an orbital floor fracture. CT demonstrated a soft tissue collection adjacent to an implant as well as maxillary sinus opacification. He did not improve with antibiotics, at which point surgery revealed a pseudocyst and its contents were removed. This report describes a unique presentation of orbital pseudocyst and summarizes the literature on this entity.

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Case Peport, Chronic Subperiosteal Hematic Cyst Formation Twelve Years After Orbital Fracture Repair with Alloplastic Orbital Floor Implant

Cited by 18 publications

References 11 publications

Orbital cholesterol granuloma: A report and discussion of orbital findings

Orbital cholesterol granuloma: A report and discussion of orbital findings

Clinical, radiological and histopathological characteristics of surgically removed orbital hematic cysts: A case series

Hematic Pseudocyst Masquerading as Orbital Cellulitis and Sinusitis

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