Surgical Decisions in the Management of Frontal Sinus Osteomas

Chiu, Alexander G.; Schipor, Ioana; Cohen, Noam A.; Kennedy, David W.; Palmer, James N.

doi:10.1177/194589240501900213

Cited by 114 publications

(124 citation statements)

References 9 publications

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“…The advent of endoscopic technology has revolutionized the rhinologist's view point to the approach to sinunasal lesions. Even though the endoscopic technique using the intranasal drill has been applied successfully to osteomas with orbital extension, the choice of surgical approaches is individualized and depends on the tumour location and size [8]. A detailed assessment of the margins of the tumor and definition of its relations with the surrounding structures is required in order to choose the most precise approach to be planed.…”

Section: Discussionmentioning

confidence: 99%

Surgical Management of the Most Common Benign Craniofacial Fibroosseous Lesions

Mobashir¹,

Merwad

Anany

et al. 2013

Zagazig University Medical Journal

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Background: fibro-osseous lesions of craniofacial bones are a challenging group of pathological conditions that are difficult to classify and treat. Unfortunately, there are no universally accepted clinical, radiological, or histopathological criteria that distinguish these lesions from one another. It is often quite challenge to establish their biologic behavior and treatment. Objective: To outline the the different surgical modalities for management of the most common symptomatic craniofacial fibro-osseous lesions and to evaluate the appropriate surgical management with follow up results. Patients and methods: Sixteen patients with biopsy confirmed craniofacial fibro-osseous lesions were enrolled in our study from Mars 2009 to Mars 2012 in otorhinolaryngology department zagazig university hospital. They were operated using endoscopic and open surgery. All patients were submitted in thorough history taking, clinical, radiological, and histopathological examinations, with a follow up period from six months to two years. Results: The most common cases were osteoma 10 cases (62.5%), the fibrous dysplasia was the second most common 6 case (37.5%). Ethmoid and frontal sinus were the most common sinuses involved with osteoma, the maxillary sinus was the most common sinus involved with fibrous dysplasia. There were 3 complications the first was CSF leak, the second was incomplete removal of fibrous dysplasia, and the third was diminution of vision in the epsilateral eye of the huge ethmoidal osteoma due to optic nerve oedema resolved by medical treatment. Conclusion: management of craniofacial fibro-osseous lesions is highly individualized and it is the task of the surgeon to tailor the surgical procedure according to the clinical and radiological data.

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Section: Discussionmentioning

confidence: 99%

Surgical Management of the Most Common Benign Craniofacial Fibroosseous Lesions

Mobashir¹,

Merwad

Anany

et al. 2013

Zagazig University Medical Journal

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“…Frontal sinüs osteomları Chiu ve ark.nın yaptığı sınıflandırma sistemine göre değerlendirildi (Tablo 1). 4 Osteoplastik flep yapılan bütün hastalara prosedür, kaş üstü insizyon yapılarak gerçekleştirildi. Bu yöntem ile osteom eksizyonu, perikondrium eleve edildikten sonra osteotom yardımıyla frontal sinüs içerisine küçük bir pencere açılarak sağlandı.…”

Section: Gereç Ve Yöntemlerunclassified

“…4 Buna göre Grade 1-2 tümörlerde endoskopik cerrahi uygulanabilir. Grade 2 ve frontal resesi fazla kapatan tümörlerde trefinasyon yöntemi de uygulanabilirken, grade 3-4 tümörlerde ise eksternal yaklaşım uygulanmalıdır.…”

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“…Grade 2 ve frontal resesi fazla kapatan tümörlerde trefinasyon yöntemi de uygulanabilirken, grade 3-4 tümörlerde ise eksternal yaklaşım uygulanmalıdır. 4 Bizim çalışmamızda tümör, hastaların 3'ünde (%20-3/15) grade 4, 10'unda (%66,66-10/15) grade 3 ve 2'sinde (%13,33-2/15) grade 2 olarak evrelendirildi. Evresine göre yapı-lan cerrahi tedavi Tablo 2'de özetlenmiştir.…”

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Paranasal Sinus Osteomas

Keskin¹,

İla²,

İşeri³

et al. 2013

Turkiye Klinikleri J Med Sci

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“…stomatognathic system, because sparing resection may result in tumour recurrence [65,68,69]. In the case analysed by us, medical intervention, either therapeutic or palliative, was not an option available for this disease, and the described tumour was probably not a direct cause of death.…”

mentioning

confidence: 99%

A Case of Mandibular Tumour in a Skull from an Early Modern Cemetery in Wroclaw, Poland

Dąbrowski¹,

Gronkiewicz²,

Staniowski³

et al. 2015

Ann Clin Lab Res

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Background: The objective of our study was to diagnose a case of non-malignant bone tissue malformation in an adult female, located in the midline of the mandibular body, as a part of skeletal material excavated from the Early Modern cemetery in Wrocław. Methods and Findings:The macroscopically identified tumour-like hyperplastic lesion was examined using radiographic imaging techniques but also analysed for histopathological features. We identified signs of periosteal reaction and irregular growth of bone tissue which macroscopically resembled a spongy structure. The recorded image shows an irregular hyperplasia of bone lamellae, formed on the inner side of the mandibular corpus, causing secondary changes in the normal structure of the compacted bone and partly in spongy bone. Both techniques confirmed that this condition is most characteristic of a neoplastic lesion, defined as osteoma spongiosum. Conclusions:Growing tumour finally caused a massive deformation of the alveolar part of the mandible. The immediate consequence of such overgrowth of bone tissue was probably the intravital loss of incisors and change of occlusion affecting periodontal health. Therefore it could have significantly deteriorated the quality of life of the studied individual. The identified mandibular osteoma spongiosum is the first case of this type reported for the historic area of Wrocław. We believe that information on neoplastic disorders of bone in archaeological skeletal materials, when properly diagnosed and described, may be an important contribution to epidemiological studies on neoplastic diseases among ancient and contemporary human populations.

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Surgical Decisions in the Management of Frontal Sinus Osteomas

Cited by 114 publications

References 9 publications

Surgical Management of the Most Common Benign Craniofacial Fibroosseous Lesions

Surgical Management of the Most Common Benign Craniofacial Fibroosseous Lesions

Paranasal Sinus Osteomas

A Case of Mandibular Tumour in a Skull from an Early Modern Cemetery in Wroclaw, Poland

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