| Title |
The Management of Periorbital Nodular Fasciitis using Intralesional Triamcinolone |
| Submitted by |
Shay Keren |
| Abstract Number |
371 |
| Abstract ID |
19-156 |
| Review Result |
poster presentation |
| Purpose |
To report a case of orbital nodular fasciitis (NF) in a paediatric patient treated with intra-lesional triamcinolone (IL-TA). NF is a rare subcutaneous, nodular, pseudo-sarcomatous, fibroblastic proliferation mainly reported in the subcutaneous or superficial fascia. |
| Methods |
We present a case report of an 8 year old patient, who presented to the Oxford Eye Hospital, with a rapidly progressive lesion affecting the left supero-medial orbital rim. The mass occured at the site of previous surgery (a bi-coronal flap). An incisional biopsy confirmed the diagnosis of nodular fasciitis. The patient was managed with a single intralesional injection of triamcinolone. |
| Results |
Four months post-injection there was complete resolution of the orbital mass. No local or systemic side effects were noted at 15-months follow-up, with no evidence of recurrence. |
| Conclusion |
This is the first documented case using IL-TA as a first-line option in the management of orbital nodular fasciitis. Wide local excision has been widely adopted as the standard treatment for NF in the published literature. IL-TA confers several advantages over surgery including: preservation of the underlying supra-orbital nerve preventing paraesthesia, no scar or disease recurrence. The procedure is safe and should be considered as a first-line option for these rare lesions. The oculoplastic surgeon should be aware of the possibility of NF in any patient with a rapidly progressive mass, particularly at a site of previous surgery. |
Additional Authors
| Last name |
Initials |
City / Hospital |
Department |
| Ansorge |
Olaf |
Oxford |
Neuropathology |
| Hilerbrand |
Darius |
Oxford |
Ophthalmology |
| Wilson |
Shaun |
Oxford |
Paediatric oncology |
| Mccallum |
Ewan |
Oxford |
Ophthalmology |
| Norris |
Jonathan |
Oxford |
Ophthalmology |
