Orbital approach for solitary fibrous tumor in the frontal sinus excision: case report

Abstract

We present a case of a solitary fibrous tumor of the frontal sinus that herniated within the orbital cavity. This pathology is rare and around thirty cases have been reported in the world literature. Management was done with a multidisciplinary group and a combined transnasal endoscopic and external approach through an incision in superior internal angle of the orbit. The tumor mass was removed, and the supraorbital bone was sealed with an orbit mesh, which was covered with an autologous membrane of growth factors, obtained, and processed from the patient's own blood. The immediate result was excellent, and follow-up is required to control the tumor.