Giant frontal osteoma - Case report
DOI:
https://doi.org/10.34631/sporl.441Keywords:
Osteoma, Osteoplastic flap surgery, Endonasal surgeryAbstract
Osteoma is the commonest benign tumour of the paranasal sinuses. It’s a slow growing tumour, mostly asymptomatic. Becomes symptomatic when obstructs the drainage pathways of the sinus or leads to compression/invasion of the surrounding structures. The commonest presenting symptom of osteoma is frontal headache or facial pain. Surgical treatment is reserved for some situations. With the advance in endoscopic sinus surgery there has been a trend toward removal of frontal osteomas endoscopically. The extranasal approach nevertheless remains an important part of frontal sinus osteoma surgery.
We report a case of a 37 years old man with left eyelid ptosis as the first symptom of a giant osteoma of the frontal sinus, that underwent osteoplastic flap surgery for removal.
We briefly review the literature about the different surgical approaches.
References
- Broniatowski M. Osteomas of the frontal sinus. Ear Nose Throat J 1984;63:267–271.
– Earwalker J. Paranasal sinus osteomas: A review of 46 cases. Skel Radiol 1993;22:417–423.
– Eller R, Sillers M. Common fibro-osseous lesions of the paranasal sinuses. Otolaryngologic Clinics of North America 2006;39(3):585-600.
– Schick B, Steigerwald C, el Rahman T, Draf W. The role of endonasal surgery in the management of frontoethmoidal osteomas. Rhinology 2001;39(2):66-70.
– Atallah N, Jay M. Osteomas of the paranasal sinus. J Laryngol Otol 1981;95:291–304.
– Lund V, Stammberger H, Nicolai P, Castelnuovo P, et al. European position paper on endoscopic management of tumours of the nose and paranasal sinuses and skull base. Rhinology 2010;Suppl 22:30–31.
– Eckel W, Palm D. Statistical and roentgenological studies on some problems of osteoma of the paranasal sinuses. Arch Ohren Nasen Kehlkopfheilkd 1959;174:440–457.
- Kim A, Foster J, Papay F, Wright K. Orbital extension of a frontal sinus osteoma in a thirteen-year-old girl. J AAPOS 2000;4(2):122-124.
– Rokade A, Sama A. Update on management of frontal sinus osteomas. Curr Opin Otolaryngol Head Neck Surg 2012. [in press]
- Fobe LP, Melo EC, Cannone LF, Fobe JL. Surgery of frontal sinus osteoma. Arq Neuropsiquiatr 2002;60(1):101-105.
– Chiu A, Schipor I, Cohen N, Kennedy D, et al. Surgical decisions in the management of frontal sinus osteomas. Am J Rhinol 2005;19:191–197.
– Schick B, Dlugaizyk J. Benign tumours of the nasal cavity and paransal sinuses. Rhinology and facial plastic surgery. Heidelberg:Springer 2009;377-86.
– Goodale R, Montgomery W. Experiences with the osteoplastic anterior wall approach to the frontal sinus; case histories and recommendations. Archives of Otolaryngology 1958;68(3):271–283.
– Hazarika P, Murthy PS, Pereira K, Divakar A, et al. Combined caniofacial approach for fronto-maxillo-ethmoidal lesion. Indian J Otolaryngol 1990;42:47-49.
– Weber R, Draf W, Keerl R, Kahle G, et al. Osteoplastic frontal sinus surgery with fatobliteration: techniques and long term results using magnetic resonance imaging in 82 operations. Laryngoscope 2000;110:1037–1044.
– Seiberling K, Floreani S, Robinson S, Wormald P. Endoscopic management of frontal sinus osteomas revisited. Am J Rhinol Allergy 2009; 23:331–336.
– Ledderose GJ, Betz CS, Steleter K, Leunig A. Surgical management of osteomas of the frontal recess and sinus: extending the limits of the endoscopic approach. Eur Arch Otorhinolaryngol 2011;268:525–532.
