This 6-year-old girl presents for assessment of left eye proptosis which has worsened significantly over the last week. Why?
Here, we see an orbital lymphatic-venous malformation (LVM). This is a rare, benign, congenital condition that is typically precipitated by an upper respiratory tract infection or trauma.
Orbital LVMs can be classified by hemodynamic status as no-flow or slow-flow; by location as superficial, deep, combined, or complex; and by composition as venous, lymphatic, or combined. Management is complex and interdisciplinary.
In this tip's accompanying 8 min. video, featuring Dr. Ahsen Hussain, assistant professor at Dalhousie University in Nova Scotia, we will review:
- How to identify an orbital LVM
- Etiologies for orbital LVM
- Management for orbital LVM
Plastics Coach Tip
Consider observation for patients who do not have visual compromise, as surgical interventions are precarious with potential for damage to critical structures in the orbit.
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