Background: Primary intraosseous hemangioma of the orbit is a rare, but typically benign bone tumor, with insidious onset and unclear etiology. The primary surgical objectives encompassed complete lesion resection with immediate reconstruction of the osseous defect to achieve optimal functional and aesthetic restoration. Methods: We present the case of a 72-year-old male patient who underwent complete surgical excision with subsequent orbital reconstruction for a progressively enlarging infraorbital mass that caused significant cosmetic disfigurement. Results: Histopathological examination confirmed the diagnosis of hemangioma. During follow-up, the patient demonstrated satisfactory wound healing with maintained midfacial projection and unchanged visual fields compared to preoperative status. Conclusion: For patients with intraosseous orbital hemangiomas, the primary concern is facial disfigurement. Surgical resection followed by reconstruction remains the treatment of choice, while the pathogenesis and alternative therapeutic approaches warrant further investigation.We present a case of orbital intraosseous hemangioma to contribute insights into this scarcely documented pathology.
Song et al. (2025) studied this question.