An unusual encounter in ophthalmology: Fronto-Ethemoido-Orbital Osteoma with the art of precise referral and management of PEEK implant infection- A rare case report
Purpose: We present a rare case of a giant fronto-ethmoidal osteoma with orbital involvement, managed through a multidisciplinary approach. This case also highlights the prompt reconstruction using a PolyEtherEtherKetone (PEEK) patient-specific implant (PSI) and the subsequent management of a PEEK i...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2025-03-01
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| Series: | American Journal of Ophthalmology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2451993625000076 |
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| Summary: | Purpose: We present a rare case of a giant fronto-ethmoidal osteoma with orbital involvement, managed through a multidisciplinary approach. This case also highlights the prompt reconstruction using a PolyEtherEtherKetone (PEEK) patient-specific implant (PSI) and the subsequent management of a PEEK implant infection. Observation: We present a case of 34-year-old gentleman presented with progressive painless proptosis of left eye along with left sided headaches that he noticed for one year. CT scans suggestive of a large Fronto-Ethemoido-Orbital Osteoma seen to compressing the globe and superior rectus muscle. A multidisciplinary approach was chosen including an oculoplastic surgeon, maxillofacial surgeon and neurosurgeon to manage the case. A PEEK implant was used for the reconstruction of frontal and orbital bones, which later on got infected and a second surgery was done to explant the PEEK implant. Conclusion and importance: Asymptomatic osteomas without any orbital extension seldom requires any treatment. While secondary orbital invasion is relatively rare, it is more frequent in ethmoid, fronto-ethmoid, and frontal locations. Prompt treatment is crucial in the cases with orbital symptoms. In ophthalmology, there is a growing interest in using PEEK implants. While standard implants are usually adequate for routine repairs, complex cases with irregular defects or volume deficiencies present challenges. In these situations, patient-specific implants (PSIs) offer an invaluable solution. |
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| ISSN: | 2451-9936 |