Abstract
A 51-year-old woman with bone wax–induced osteohypertrophy presented with exophthalmos
9 years after a craniotomy for a right internal carotid bifurcation aneurysm. CT scans
revealed thickening of the frontotemporal bone flap and surrounding bone, thickening
of the upper and lateral orbital walls, and a limited intraorbital cavity. Intraoperative
findings revealed residual bone wax under the bone flap, grayish-white discoloration
of the flap, and degeneration of the temporal muscle. Pathological examination revealed
granulation and osteogenesis due to a foreign body. To our knowledge, this is the
first report of bone wax–induced hyperostosis leading to exophthalmos.
Keywords
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Article info
Publication history
Accepted:
March 4,
2009
Received:
February 15,
2009
Identification
Copyright
© 2009 Elsevier Ltd. Published by Elsevier Inc. All rights reserved.
