The multidisciplinary management of psammomatoid ossifying fibroma of the orbit

Objective: To discuss the multidisciplinary management of psammomatoid ossifying fibroma (POF) of the orbit and to clarify the clinicopathologic terminology. Design: The authors present a cohort of cases of POF involving the frontal and ethmoid sinuses and the orbit and discuss the nomenclature and literature. Participants: Three patients with POF and their treatment are discussed. Intervention: Patients were worked up and treated by a multidisciplinary team using imaging studies and histopathologic analysis. Reconstruction, if necessary, was carried out at the time of excision or in a second-stage procedure. Main Outcome Measures: In each case, the lesion was completely excised and has not recurred. Results: The diagnosis of POF was made in each case, and the patient underwent successful resection of the tumor. Conclusion: The authors' experience suggests that a multidisciplinary approach, including a radiologist, pathologist, neurosurgeon, otolaryngologist, craniofacial surgeon, and orbital specialist, may be useful in the evaluation and management of these lesions.