Giant fronto-ethmoidal osteoma – selection of an optimal surgical procedure

Humeniuk-Arasiewicz, Maria; Stryjewska-Makuch, Grażyna; Janik, Małgorzata; Kolebacz, Bogdan

doi:10.1016/j.bjorl.2017.06.010

Cited by 22 publications

(42 citation statements)

References 45 publications

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“…Histologically, four acknowledged pathological types of osteomas have been described: the ivory osteoma dense and mature bone; the compact osteoma with small Haversian canals, the osteoma spongiosum; and finally the mixed osteoma. [ 2 ]…”

Section: Discussionmentioning

confidence: 99%

“…[ 1 ] These encapsulated bony tumors are most commonly asymptomatic or may remain silent without causing neurological deficit, and are detected incidentally in 3% of computed tomography (CT) scans and 1% of plain sinus radiographs. [ 2 ] However, depending on their size and location, they may become symptomatic due to direct mass effect or erosion of the posterior sinus wall. [ 3 ] Thus, surgery is necessary as the main treatment option for symptomatic frontal osteomas and intracranial complication.…”

Section: Introductionmentioning

confidence: 99%

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Subdural empyema complicating a giant fronto-ethmoidal osteoma

et al. 2020

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Osteomas of the paranasal sinuses rarely lead to intracranial manifestations. We present an unusual case of a giant frontal sinus osteoma leading to subdural empyema formation. Determine the origin and the optimal surgical approach of these unusual lesions by analyzing giant osteomas of the frontal and ethmoidal sinuses in the literature. We report a rare case of giant frontoethmoidal osteoma with intracranial extension in a 34-year-old man, revealed by seizures. Neuroradiological studies revealed frontoparietal subdural empyema associated to a large osteoma in the right frontal sinus. The patient underwent surgical evacuation of the empyema and resection of the osteoma in one stage operation of decompressive craniotomy. The patient recovered very well after surgery and postoperative antibiotic therapy. This case represents in the literature only the third-reported case of subdural empyema complicating frontoethmoidal osteoma. The surgical treatment options, including open surgery techniques and endoscopic approaches, as well as pathogenesis are discussed according to the relevant literature.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Subdural empyema complicating a giant fronto-ethmoidal osteoma

et al. 2020

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“…Intracranial extension is more common with giant frontal osteomas, resulting in meningitis, cerebral abscesses, intracranial mucocoele, pneumocephalus and cerebral edema. [1][2][3][4] A fronto-ethmoidal osteoma can be accurately diagnosed on a CT scan, where it typically appears as a thick, sclerotic, homogenous and well defined mass. 1 A contrast enhanced CT brain with orbits and paranasal sinuses helps is determining the exact tumor size, location and extension to adjacent structures.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4] A fronto-ethmoidal osteoma can be accurately diagnosed on a CT scan, where it typically appears as a thick, sclerotic, homogenous and well defined mass. 1 A contrast enhanced CT brain with orbits and paranasal sinuses helps is determining the exact tumor size, location and extension to adjacent structures. MRI is useful in cases with ocular/intracranial symptoms to further delineate the extent of soft tissue involvement.…”

Section: Discussionmentioning

confidence: 99%

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Giant fronto-ethmoidal osteoma with orbital and intracranial extension: a case report

Gade

Velho

Naik

et al. 2018

Int J Otorhinolaryngol Head Neck Surg

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<p class="abstract">Osteomas of the paranasal sinuses are often small, asymptomatic and incidentally diagnosed on radiological imaging. Giant osteomas, although rare, are clinically significant due to their propensity to cause orbital and intracranial complications. Complete surgical resection is usually possible with good outcome and low recurrence rate. We report a case of 62 years female who presented with proptosis and blurring of vision. Radiological work up revealed giant fronto-ethmoidal osteoma measuring 7.9×5.1×4.8 cm extending into the orbit and along the anterior skull base. Open surgical excision of the osteoma was done via left fronto-orbital approach. This is one of the largest fronto-ethmoidal osteomas reported in the literature till date.</p>

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