Skip to main content

Advertisement

SpringerLink
Log in

An Unusual Giant Osteoma of the Maxillary Sinus: Case Report

  • Surgery
  • Published:
SN Comprehensive Clinical Medicine Aims and scope Submit manuscript

Abstract

Paranasal sinus osteoma is the most common benign tumour of the paranasal sinuses. Osteomas are described as giant when they measure more than 3 cm in diameter or weigh over 110 g. Giant osteomas of the maxillary sinus are extremely rare. Aetiology is unknown, but there are three theories about the causes, ‘The Developmental theory’, ‘The Trauma Theory’ and ‘The Infection Theory’. Osteomas are often noticed incidentally in radiological examinations, unless they are symptomatic. Symptomatic osteomas or/and osteomas occupying more than 50% of the sinus volume are treated surgically. An intraoral approach is often preferred for paranasal sinus osteomas. These tumours have also been associated with Gardner’s syndrome. No malignancy transformation has ever been reported and they have an overall excellent prognosis. In this paper, we describe a case of a 37-year-old woman, with a giant osteoma in the left maxillary sinus. The presence of osseous septums attaching the tumour to the walls of the maxillary sinus, creating a star-shaped configuration, has been previously described in only one case.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Erdogan N, Demir U, Songu M, Ozenler NK, Uluç E, Dirim B. A prospective study of 1,899 cases: changing patterns of localization. Laryngoscope. 2009;119(12):2355–9. https://doi.org/10.1002/lary.20646.

    Article  PubMed  Google Scholar 

  2. Arslan HH, Tasli H, Cebeci S, Gerek M. The management of the paranasal sinus osteomas. J Craniofac Surg. 2017;28:741–5. https://doi.org/10.1097/SCS.0000000000003397.

    Article  PubMed  Google Scholar 

  3. Dong D, Yue W, Chang L, et al. Fibro-osseous lesions of paranasal sinus and craniofacial region: a retrospective study. Laryngoscope. 2020;00:2020. https://doi.org/10.1002/lary.28529.

    Article  CAS  Google Scholar 

  4. Edmond M, Clifton N, Khalil H. A large atypical osteoma of the maxillary sinus: a report of a case and management challenges. Eur Arc Otorhinolaryngol. 2011;268:315–8. https://doi.org/10.1007/s00405-010-1447-0.

    Article  Google Scholar 

  5. Cheng KJ, Wang SQ, Lin L. Giant osteomas of the ethmoid and frontal sinuses: clinical characteristics and review of the literature. Oncol. Lett. 2013;5(5):1724–30. https://doi.org/10.3892/ol.2013.1239.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Moretti A, Croce A, Leone O, D'Agostino L. Osteoma of maxillary sinus: case report. Acta Otorhinolaryngol Ital. 2004;24(4):219–22 https://pdfs.semanticscholar.org/682e/d26c115642035344f7e4895d12a77c917818.pdf.

    PubMed  CAS  Google Scholar 

  7. Rocha JF, Gonçales AGB, da Silva Sampieri MB, da Silva AA, Matsumoto MA, Gonçales ES. Peripheral osteoma of the maxillary sinus: a case report. J Oral Maxillofac Surg. 2011;16(3):315–9. https://doi.org/10.1007/s10006-011-0298-1.

    Article  Google Scholar 

  8. Nair MK, Ludlow JB, Tyndall DA, et al. Periodontitis detection efficacy of film and digital images. Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod. 1998;85(5):608–12. https://doi.org/10.1016/s1079-2104(98)90299-2.

    Article  PubMed  CAS  Google Scholar 

  9. Castelnuovo P, Valentini V, Giovannetti F, Bignami M, Cassoni A, Iannetti G. Osteomas of the maxillofacial district: endoscopic surgery versus open surgery. J Craniofac Surg. 2008;19(6):1446–52. https://doi.org/10.1097/SCS.0b013e31818b417d.

    Article  PubMed  Google Scholar 

  10. Dinarvand P, Davaro E, Doan J, et al. Familial adenomatous polyposis syndrome: an update and review of extraintestinal manifestations. Arch Pathol Lab Med: Nov 2019. 2019;143(11):1382–98. https://doi.org/10.5858/arpa.2018-0570-RA.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Oral and Maxillofacial Surgery, Dental School, University of Athens, Mediterraneo Hospital 8-12 Ilias Str, 16675, Glyfada, Athens, Greece

    E. Kalfarentzos

  2. Dental School, University of Athens, 2 Thivon Str, 115 27, Goudi, Athens, Greece

    I. Arapi

  3. Athens, Greece

    V. Triantafyllou

  4. Department of Oral Pathology, Dental School, University of Athens, 2 Thivon Str., 115 27, Goudi, Athens, Greece

    K. I. Tosios

  5. Department of Oral and Maxillofacial Surgery, Dental School University of Athens, Mediterraneo Hospital 8-12 Ilias Str,166 75, Glyfada, Athens, Greece

    P. Christopoulos

Authors
  1. E. Kalfarentzos
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. I. Arapi
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. V. Triantafyllou
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. K. I. Tosios
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. P. Christopoulos
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to I. Arapi.

Ethics declarations

Conflict of Interest

Dr. Kalfarentzos declares that he has no conflict of interest. Mrs. Arapi declares that she has no conflict of interest. Mrs. Triantafyllou declares that she has noconflictsof interest. Prof. Tosios declares that he has no conflicts of interest. Prof. Christopoulos declares that he has no conflicts of interest.

Ethical Approval

This article does not contain any studies with human participants or animals performed by any of the authors.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

This article is part of the Topical Collection on Surgery

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Kalfarentzos, E., Arapi, I., Triantafyllou, V. et al. An Unusual Giant Osteoma of the Maxillary Sinus: Case Report. SN Compr. Clin. Med. 2, 685–688 (2020). https://doi.org/10.1007/s42399-020-00278-0

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s42399-020-00278-0

Keywords

Search

Navigation