Benign bony tumors of the paranasal sinuses, orbit, and skull base

Waldman, S.; Shimonov, Menachem; Yang, Nathan; Spielman, Daniel; Godfrey, Kyle J.; Dean, Kathryn E.; Phillips, C. Douglas; Helman, Samuel N.

doi:10.1016/j.amjoto.2022.103404

Cited by 14 publications

(11 citation statements)

References 118 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Die fibröse Dysplasie ist meist im Bereich des Os maxillare oder der Mandibula lokalisiert, die Stirnhöhlen, Siebbeinzellen, Keilbeinhöhlen oder der Clivus bzw. die Frontobasis sind deutlich seltener befallen [425,429,430], allerdings kann die Erkrankung sehr ausgedehnt nahezu die gesamte Schädelbasis betreffen [431]. Orbitale Symptome treten bei Befall der knöchernen Orbitawandungen auf oder, im Falle einer Lokalisation im Clivus bzw.…”

Section: Fibro-ossäre Läsionen Der Nasennebenhöhlenunclassified

Interdisziplinäre Therapie der Erkrankungen der Orbita

Eckstein,

Welkoborsky

2024

Laryngorhinootologie

View full text Add to dashboard Cite

ZusammenfassungDie Diagnostik und Therapie von Erkrankungen der Orbita ist eine interdisziplinäre Aufgabe, an der u.a. die Fachdisziplinen HNO-Heilkunde, Augenheilkunde, Radiologie, Strahlentherapie, MKG-Chirurgie, Endokrinologie und Pädiatrie beteiligt sind. Der vorliegende Übersichtsartikel stellt eine Zusammenstellung der häufigsten Erkrankungen dar, mit denen die Fachdisziplinen HNO-Heilkunde und Augenheilkunde interdisziplinär befasst sind. Es werden die akuten entzündlichen Erkrankungen incl. orbitaler Komplikationen, die autoimmunologischen Erkrankungen der Orbita incl. der endokrinen Orbitopathie, und die tumorösen Erkrankungen besprochen. Neben der Diagnostik und der Beschreibung der Klinik wird besonderes Augenmerk auf die interdisziplinäre Therapie gelegt. Abgerundet wird der Übersichtsartikel mit der Beschreibung der wichtigsten chirurgischen Zugangswege zur Orbita, ihre Indikationen und mögliche Komplikationen. Die Autoren haben versucht, trotz der knappen Darstellung die relevanten Fakten zu beschreiben.

show abstract

Section: Fibro-ossäre Läsionen Der Nasennebenhöhlenunclassified

Interdisziplinäre Therapie der Erkrankungen der Orbita

Eckstein,

Welkoborsky

2024

Laryngorhinootologie

View full text Add to dashboard Cite

show abstract

“…8 Many osteomas demonstrate a slow rate of growth, estimated to be about 1 mm/year, and if asymptomatic, tumors can be followed with close clinical and radiographic evaluation. 9 Depending on the size and location, osteomas of the skull can cause headaches, pain, contour deformities, visual disturbances and other ophthalmologic signs such as epiphora and orbital cellulitis 10 and even intracranial mucoceles. 11 When indicated, the majority of these tumors are resected via minimally invasive transnasal or transorbital approaches, though some tumors because of size or adjacent critical structures, may preclude this treatment paradigm.…”

Section: Introductionmentioning

confidence: 99%

“…8 Many osteomas demonstrate a slow rate of growth, estimated to be about 1 mm/year, and if asymptomatic, tumors can be followed with close clinical and radiographic evaluation. 9…”

Section: Introductionmentioning

confidence: 99%

Resection and Reconstruction of a Giant Paranasal Osteoma in a Pediatric Patient

Aycart

Banwell

Al-Shaqsi

et al. 2023

Craniomaxillofacial Research & Innovation

View full text Add to dashboard Cite

Study Design Case Report. Objective Paranasal osteomas are rare, benign bony tumors of the craniofacial skeleton and most are treated endoscopically without the need for reconstruction. In rare cases, open traditional craniofacial approaches are required with a paucity of literature describing extirpative maneuvers in this setting. We present a unique case of a rapidly growing, paranasal bony tumor in a pediatric patient and describe our surgical technique for resection and reconstruction. Methods A 13-year old male presented with eight months of progressive, painless right periorbital swelling and proptosis. Trans-nasal biopsy confirmed an osteoma of the right ethmoid sinus and endoscopic resection was recommended. Due to interval tumor growth, there was worsening visual acuity that precluded a minimally invasive approach. Pre-operative and post-operative 3D computed tomography (CT) scans were completed, and a 3D printed skull model was produced to aid in surgical planning. A multi-disciplinary team of Otolaryngology, Neurosurgery, and Plastic Surgery was employed. The majority of the extirpation was performed with a highspeed carbide burr. Results Post-operative course was unremarkable and CT scan demonstrated a complete resection. Pathology confirmed the diagnosis of an osteoma. Six-month follow-up demonstrated normal ophthalmologic function and visual acuity with excellent aesthetic results. Conclusions This is a rare, complex presentation of a paranasal osteoma that was successfully managed with an open, multi-disciplinary approach. We highlight pearls gleaned from this extirpative and reconstructive technique. Due to the tumor density and location, a multidisciplinary team, Stealth navigation, an open, intra- and extra-cranial approach and use of a highspeed carbide burr were essential.

show abstract

“…Benign bony lesions of the paranasal sinuses and skull base are common frequently asymptomatic lesions [1]. However, they may occasionally become symptomatic if they encroach surrounding critical neuromuscular structures, orbit, brain, jaws or cause external deformity.…”

Section: Introductionmentioning

confidence: 99%

Benign bony lesions of paranasal sinuses and skull base: from osteoma to fibrous dysplasia

Papargyriou,

Oostra,

Georgalas

2023

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

View full text Add to dashboard Cite

Purpose of review Benign bony lesions of the craniofacial complex are relatively common. However, their location close to critical neurovascular structures may render their treatment, if required, highly challenging. This article reviews the current literature on their pathophysiology, diagnosis, natural course and treatment, with a focus on most recent findings. Recent findings A new classification has been suggested concerning endoscopic resectability. The ratio of lateral frontal to interorbital distance can accurately and reliably predict the endoscopic reach to lateral frontal sinus, while orbital transposition can assist us in reaching lateral frontal sinus when anatomy is unfavorable. New and combined endoscopic transnasal and transorbital approaches are now in the surgical armamentarium. Prophylactic optic nerve decompression in fibrous dysplasia is absolutely contraindicated as it leads to worse visual outcomes. Radiotherapy of such lesions is of no benefit and may lead to a higher risk of malignant transformation. The presence of Guanine Nucleotide binding protein Alpha Stimulating (GNAS) mutation in chromosome 20 is universally present in fibrous dysplasia and can differentiate them from ossifying fibromas. Summary Diagnosis and therapeutic management of benign craniofacial bone lesions remains challenging. If surgical treatment is contemplated, the morbidity of the intervention should always be weighed against the potential benefits. Evolution of extended endoscopic endonasal and transorbital surgery means that more lesions can be reached purely endoscopically with better oncological and cosmetic results.

show abstract

Benign bony tumors of the paranasal sinuses, orbit, and skull base

Cited by 14 publications

References 118 publications

Interdisziplinäre Therapie der Erkrankungen der Orbita

Interdisziplinäre Therapie der Erkrankungen der Orbita

Resection and Reconstruction of a Giant Paranasal Osteoma in a Pediatric Patient

Benign bony lesions of paranasal sinuses and skull base: from osteoma to fibrous dysplasia

Contact Info

Product

Resources

About