Abstract
Diagnosis of frontal osteoma is usually by chance, but rarely these can produce exceptional ophthalmologic and neurological complications apart from cosmetic disfigurement. Etiology of frontal osteoma may be multifactorial. Surgical management should be site and size specific. A combination of open surgery and endoscopic methods would help confirm complete removal of the tumor. Here we report a fronto-ethmoidal osteoma of size 7.1 × 5.3 × 5.1 cm which is one of the largest reported in literature. Also, we have done an extensive web search and text based review of the literature on frontal osteoma in terms of its incidence, etiology, pathology, clinical presentation, complications and important developments in management. The available literature and our own experience suggest that even large osteoma arising in the fronto-ethmoid region can be completely removed surgically with minimum complications. The surgical approach can be varied according to the extent of the tumor and patient considerations. A regular follow up is necessary in asymptomatic cases being treated conservatively, in view of the potential complications.
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References
Watelet JB, Van Cauwenberge P (1999) Applied anatomy and physiology of the nose and paranasal sinuses. Allergy 54(Supp 57):14–25
Grayeli AB, Redondo A, Sterkers O (1980) Anterior skull base osteoid osteoma: case report. Br J Neurosurg 12:173–175
Rosenburg A (1999) Bone forming tumours. In: Cotran RS, Kumar V, Collins T (eds) Robbins pathologic basis of disease, 6th edn. Saunders, Philadelphia, p 1235
Vowles RH, Bleach NR (1999) Imaging case study of the month: frontoethmoidal osteoma. Ann Otol Rhinol Laryngol 108:522–524
Gil Tutor E (1998) Osteomas fronto-etmoidales. Ann Otorrinolaringol Ibero Am 25:137–146
Selva D, White VA, O’Connnell JX, Rootman J (2004) Primary bone tumours of the orbit. Surv Ophthalmol 49:328–342
Dispenza C, Martines R, Dispenza F, Caramanna C, Saraniti C (2004) Frontal sinus osteoma complicated by palpebral abscess: case report. Acta Otorhinolaryngol Ital 24:357–360
Mansour AM, Salti H, Uwaydat S, Dakroub R, Bashshour Z (1999) Ethmoid sinus osteoma presenting as epiphora and orbital cellulites: case report and literature review. Surv Ophthalmol 43:413–426
Sente M, Topolac R, Peic-Gavran K, Alenksov G (1999) Frontal sinus osteoma as a cause of purulent meningitis. Med Pregl 52:169–172
Rappaport JM, Attia EL (1994) Pneumocephalus in frontal sinus osteoma: a case report. J Otolaryngol 23(6):430–436
George J, Merry GS, Jellett LB, Baker JG (1990) Frontal sinus osteoma with complicating intracranial aerocele. Aust N Z J Surg 60(1):66–68
Aylin Y, Murat A, Alpay H, Ramazan A, Bumin D (2004) Orbital extension of a large frontal sinus osteoma associated with fibrous dysplasia. Eur J Gen Med 1(4):74–77
Mugliston TAH, Stafford N (1985) A cranio-facial approach to large osteomas of the frontoethmoidal region. J Laryngol Otol 99:979–983
Bourgeois P, Fichten A, Louis D, Vincent C, Pertuzon B, Assaker R (2002) Frontal sinus osteomas: neuro-ophthalmological complications. Neurochirurgie 48(2-3 Pt 1):104–108
Selva D, Chen C, Wormald PJ (2003) Frontoethmoidal osteoma: a stereotactic-assisted sino-orbital approach. Ophthal Plast Reconstr Surg 19(3):237–238
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Vishwakarma, R., Joseph, S.T., Patel, K.B. et al. Giant Frontal Osteoma: Case Report with Review of Literature. Indian J Otolaryngol Head Neck Surg 63 (Suppl 1), 122–126 (2011). https://doi.org/10.1007/s12070-011-0170-5
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DOI: https://doi.org/10.1007/s12070-011-0170-5