Osteomas are slow growing benign tumors of the paranasal sinuses. Most of them are asymptomatic and are discovered incidentally on radiographs. Sometimes they may grow to produce symptoms like cosmetic deformity, proptosis, epiphora and visual disturbances. A case of giant ethmoid osteoma with intra orbital extension in 30 year old female that was managed endoscopically is discussed. CONCLUSION: Endoscopic approach along with intra nasal drill is a safe and effective technique in management of osteoma of nose and paranasal sinus.
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