Hemangioendothelioma of the orbit in a 3-month-old infant

SummaryHemangioendothelioma of bone, a locally aggressive vascular neoplasm, rarely affects the facial bones. Even less common is a presentation of this tumor affecting the orbit. Excision of orbital rim tumors and consequential reconstructions in infants are especially challenging because calvarian bone grafts are not available and because of the potential for orbital deformity and facial scarring. A case of a 3-month-old female with a rapidly enlarging tumor of the inferior orbital rim and maxilla is presented. Resection was accomplished with a unique modified subciliary skin incision; orbital rim reconstruction was accomplished with dermis allograft (Alloderm®) only.