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Paranasal sinus osteomas: a review of 46 cases

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Abstract

In a survey of 1500 coronal sinonasal CT scans, 46 patients were found to have paranasal sinus osteomas. The overall incidence was 3%, with a predilection for decades 5 and 6 and a male-to-female ratio of 1.3∶1. The frontal sinus was most commonly involved, and of these lesions 37% were in the immediate vicinity of the nasofrontal duct and 21% above and lateral to the ostium. Tumour size varied from a mean diameter of 1.5 mm to 30 mm; however, 17 lesions were 5 mm in size or less. Five matrix patterns were observed. Only two patients were symptomatic and only three osteomas excised. Isotope bone scanning may be a useful screening test with specific follow-up utilising computed tomography.

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Authors and Affiliations

  1. Department of Radiology, Holy Spirit Hospital, Australia

    John Earwaker

  2. Department of Radiology, Princess Alexandra Hospital, Brisbane, Australia

    John Earwaker

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  1. John Earwaker
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Earwaker, J. Paranasal sinus osteomas: a review of 46 cases. Skeletal Radiol. 22, 417–423 (1993). https://doi.org/10.1007/BF00538443

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