Orbital Invasion by Recurrent Maxillary Ameloblastoma

Igal Leibovitch, Robert M. Schwarcz, Sara Modjtahedi, Dinesh Selva, Robert A. Goldberg

Research output: Contribution to journalArticlepeer-review

13 Scopus citations

Abstract

Purpose: To describe 2 patients with orbital invasion by maxillary ameloblastoma, a rare odontogenic tumor that is not commonly encountered in ophthalmic practice. Design: Retrospective, interventional case report. Methods: Two patients who were diagnosed with maxillary ameloblastoma several years ago sought treatment for new-onset ocular and orbital signs and symptoms. Main Outcome Measures: Clinical and radiological findings and outcome. Results: In the first patient, tumor recurrence with orbital invasion was diagnosed, and the patient underwent a total orbital exenteration. No recurrence was noted after 18 months of follow-up. The second patient had intracranial involvement with orbital invasion and underwent an extensive resection through an intracranial approach. No recurrence was noted after a 6-month follow-up period. Conclusions: Although a slow-growing tumor, maxillary ameloblastoma can recur after surgical excision and can be locally aggressive; it can invade the orbit and result in significant ocular morbidity. Ophthalmologists should be aware of this tumor and should monitor these patients closely when orbital invasion is suspected.

Original languageEnglish
Pages (from-to)1227-1230
Number of pages4
JournalOphthalmology
Volume113
Issue number7
DOIs
StatePublished - Jul 2006
Externally publishedYes

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