The most common tumoral lesion of the bony orbital region is osteoma.
It is an infrequent and benign tumor, and generally attacks the cranio
facial skeleton, but intraorbital involvement is extremely rare. After
necessary radiologic examinations (radiographs and computed tomograph
y scanning), surgery should be planned according to the tumor's locali
zation. In the case presented here, osteoma originated mainly from the
medial orbital wall. Therefore, for better surgical exposure, extra-
and intracranial approaches were planned and carried out. The mass was
removed successfully. At the 3-year follow-up, no recurrence was show
n.