Resolution of persistent traumatic supraorbital pain after neuroma excision

Orbit. 2022 Apr;41(2):253-255. doi: 10.1080/01676830.2020.1831025. Epub 2020 Oct 19.

Abstract

We describe a case of an 18-year-old male who developed a supraorbital neuroma following facial trauma that occurred 2 years earlier. He presented with complaints of persistent facial pain and migraines despite successful laceration repair and removal of foreign bodies at the time of injury. A non-contrast computed tomography (CT) scan of the orbits revealed an enlarged supraorbital nerve with remodeling and expansion of the supraorbital notch, suggesting a neuroma. The patient underwent orbitotomy with excision of neuroma (confirmed histologically) and experienced a complete resolution of periorbital pain.

Keywords: Neuroma; orbital pain; orbital trauma; supraorbital nerve; supratrochlear nerve.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Eye
  • Frontal Bone / pathology
  • Humans
  • Male
  • Neuroma* / diagnostic imaging
  • Neuroma* / etiology
  • Neuroma* / surgery
  • Orbit / diagnostic imaging
  • Orbit / innervation
  • Orbit / surgery
  • Pain