Figure 6.

A 55-year-old male was referred from another hospital with a suspected intraosseous vascular malformation in the right zygomatic bone. After CT and MRI studies, the diagnosis was confirmed (A). Surgical treatment was performed using standard technique with a subciliary approach with external canthotomy and lateronasal incision (B) with complete resection of the tumor and primary reconstruction by means of a calotte graft obtained in the same surgical act (C). The calotte graft was adapted to the defect and fixed by means of miniplates and ostesynthesis screws (D,E). During follow-up, the patient reported discomfort in relation to the oteosynthesis material, so it was partially removed. Moreover, he presented lagosphthalmos as sequelae of the approach (F).