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Frontoethmoid Osteoma Operated by Combined Approach: A Case Report

  • Vasant Gangadhar Pawar
  • Manu S. BabuEmail author
  • Suresh Kumar Tarachand Jain
  • Dharmendra K. Rai
  • Supriya G. Gaware
Clinical Report
  • 16 Downloads

Abstract

Osteoma is the most common benign neoplasm of the nose and paranasal sinuses. Despite their size, (osteomas can often reach several centimeters) they most often remain asymptomatic. Generally conservative treatment is recommended for asymptomatic osteomas, while symptomatic osteomas should be resected. As the frontal sinus is commonly affected, most surgical approaches mainly concentrate on resection of osteoma by external route endoscopic instruments offer an alternative approach to sinus surgery, enabling closer and more direct visualization of the anatomy, avoiding damage to surrounding structures as well as avoiding an external scar. In this article we describe a combined approach i.e. osteoplastic flap technique combined with endosocopic resection of a frontoethmoid osteoma. With proficient use of this method, complete removal of such tumours can be achieved with minimal morbidity.

Keywords

Osteoma Frontoethmoid Conservative treatment Osteoplastic flap Endoscopic resection 

Notes

Funding

The work and the case report are not funded by any institution or agency.

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from the individual participants included in the study. Additional informed consent was obtained from the participant for whom identifying information is included in this article.

References

  1. 1.
    Atallah N, Jay MM (1981) Osteomas of paranasal sinuses. J Laryngol Otol 95:291–304CrossRefGoogle Scholar
  2. 2.
    Hallberg OE, Begley JW (1950) Origin and treatment of osteomas of paranasal sinuses. Arch Otolaryngot 51:750–760CrossRefGoogle Scholar
  3. 3.
    Boniatowski M (1984) Osteomas of frontal sinus. Ear Nose Throat J 63:31–39Google Scholar
  4. 4.
    Boysen M (1978) Osteomas of paranasal sinuses. J Otolaryogol 7:366–370Google Scholar
  5. 5.
    Goodale RL, Montgomery W (1961) Anterior osteoplastic frontal sinus operation. Ann Otol Rhinol Laryngol 70:860–880CrossRefGoogle Scholar
  6. 6.
    Teed RW (1941) Primary osteoma of the frontal sinus. Arch Otolaryngol 33:255–292CrossRefGoogle Scholar
  7. 7.
    Sobolxoff BJ, Nykiel F (1996) Surgical treatment of large osteomas of the ethmo-frontal region. Laryngoscope 76:1068–1081Google Scholar
  8. 8.
    Cassady CL, Alexander FW (1971) Removal of a large frontoethmoid osteoma. Laryngoscope 76:1068–1081Google Scholar
  9. 9.
    Busch R (1992) Frontal sinus osteoma. Complete removal via endoscopic sinus surgery and frontal sinus trephination. Am J Rhinol 4:139–143CrossRefGoogle Scholar
  10. 10.
    Menzes CAO, Davidson TM (1994) Endoscopic resection of a sphenoethmoid osteoma. A case report. ENT J 73:598–600Google Scholar

Copyright information

© Association of Otolaryngologists of India 2019

Authors and Affiliations

  1. 1.Department of OtorhinolaryngologyGovernment Medical CollegeAurangabadIndia

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