Resection of an Orbital Lymphangioma with the Aid of an Intralesional Liquid Polymer

Summary: A 28-year-old man with long-standing right proptosis presented with an extensive multilobulated par-tially cystic orbital mass thought to be a lymphangioma. Because of concern that excision or debulking of the lesion was likely to be complicated by excessive bleeding, the lesion was injected with a mixture of ethiodized oil (Ethio-dol) and cyanoacrylate glue under direct observation. The mixture caused the injected lobules to assume a firm, rub-bery texture, allowing them to be excised without bleeding. Orbital vascular malformations can be purely ve-nous, purely arterial, or arteriovenous in nature. An-other form of vascular malformation, a lymphangi-oma, is sometimes referred to as a “low- or no-flow malformation ” (1, 2). Lymphangiomas are benign hamartomas that are generally diagnosed in earl