Skip to main content
Indian Journal of Otolaryngology and Head & Neck Surgery logoLink to Indian Journal of Otolaryngology and Head & Neck Surgery
. 2003 Jul;55(3):166–169. doi: 10.1007/BF02991944

Osteoma of the paranasal sinuses

Abhay Sinha 1,, Devanand Jha 1,, R C Deka 1,
PMCID: PMC3451122  PMID: 23119969

Abstract

Osteamas of the paranasal sinuses are rare, They often appear as a coincidental finding on X-ray in patients having radiographs for same other reasons. Tomographic evaluation is the mainstay surgical access and its subsequent follow up. We report a series of 20 cases of osteamas of the paranasal sinuses who underwent surgery for their symptoms. Wide exposure at surgery is necessary for complete or near complete removal. Tumour close to the dura, optic-nerve and internal carotid artery may be left Close and long period offollow-up is essential, especially when the tumour is partially left behind. In our experience, the rate of growth of tumour is very slow and a wait and watch policy can he adopted for very small tumours and those that are incompletely resected.

Key Words: Osteoma, paranasal sinuses, tomography

Full Text

The Full Text of this article is available as a PDF (743.6 KB).

References

  • 1.Smith ME, Calcaterra TC. Frontal sinus osteoma. Ann. Otol. Rhinol. Laryngol. 1989;98:896–900. doi: 10.1177/000348948909801111. [DOI] [PubMed] [Google Scholar]
  • 2.Savic DLJ, Djeric DR. Indications for the surgical treatment of osteomas of the frontal and ethmoid sinuses. Clin. Otolaryngol. 1990;15:397–404. doi: 10.1111/j.1365-2273.1990.tb00490.x. [DOI] [PubMed] [Google Scholar]
  • 3.Koivunen P, Lopponen H, Fors A.P, Jokinen K. The growth rate of osteomas of the paranasal sinuses. Clin. Otolaryngol. 1997;22:111–14. doi: 10.1046/j.1365-2273.1997.00869.x. [DOI] [PubMed] [Google Scholar]
  • 4.Rappaport JM, Attia EL. Pneumocephalus in frontal sinus osteoma: a case report. J. Otolaryngol. 1994;23:430–36. [PubMed] [Google Scholar]
  • 5.Holness RO, Attia E. Osteoma of the frontoethmoidal sinus with secondary brain abscess and intracranial mucocele:a case report. Neurosurgery. 1994;35:796–97. doi: 10.1097/00006123-199410000-00044. [DOI] [PubMed] [Google Scholar]
  • 6.Shady JA, Bland LI Kazee AM, Pilcher WH. Osteoma of the frontoethmoidal sinus with secondary brain abscess and intracranial mucocele: case report. Neurosurgery. 1994;34:920–23. doi: 10.1097/00006123-199405000-00024. [DOI] [PubMed] [Google Scholar]
  • 7.Brunori A, Bruni P, Delitala A, Greco R, Chiappetta F. Frontoethmoid osteoma complicated by intracranial mucocele and hypertensive pneumocephalus: case report. Neurosurgery. 1995;36:1237–8. doi: 10.1097/00006123-199506000-00042. [DOI] [PubMed] [Google Scholar]
  • 8.Lunardi P, Missori P, Lorenzo N, Fortuna A. Giant intracranial mucocele secondary to osteoma of the frontal sinuses: report of two cases and review of the literature. Surg. Neurol. 1993;39:46–8. doi: 10.1016/0090-3019(93)90109-E. [DOI] [PubMed] [Google Scholar]
  • 9.Vowles RH, Bleach NR. Imaging case study of the month: Frontoethmoid osteoma. Ann. Otol. Rhinol. Laryngol 1999;108:522–4. [DOI] [PubMed]
  • 10.Samy LL, Mostafa H. Osteomata of the nose and paranasal sinuses with a report of twenty one cases. The Journal of Laryngology and Otology. 1971;85:449–69. doi: 10.1017/s0022215100073680. [DOI] [PubMed] [Google Scholar]
  • 11.Atallah N, Jay MM. Osteomas of the paranasal sinuses. The Journal of Laryngology and Otology. 1981;95:291–304. doi: 10.1017/s0022215100090721. [DOI] [PubMed] [Google Scholar]
  • 12.Sooknundan M, Deka RC, Kacker SK. Osteoma of paranasal air sinuses- a clinical review. Indian Journal of Otolaryngology. 1986;2:80–2. [Google Scholar]
  • 13.Gardner EJ, Richards RC. Multiple cutaneous and subcutaneous lesions occurring simultaneously with hereditary polyposis and osteomatosis. The Journal of Laryngology and Otology. 1953;5:139–47. [PMC free article] [PubMed] [Google Scholar]
  • 14.Wilkes SR, Trautmann JC, DeSanto LW, Campbell RJ. Osteoma: an usual cause of amaurosis fugax. Mayo Clin Proc. 1979;54:258–62. [PubMed] [Google Scholar]
  • 15.Ataman M, Ayas K, Gursel B. Giant osteoma of the frontal sinus. Rhinology. 1993;31:185–7. [PubMed] [Google Scholar]
  • 16.Noyek AM, Chapnik JS, Kirsch JC. Radionuclide bone scan in frontal sinus osteoma. Aust. NZ J. Surg. 1989;59:127–32. doi: 10.1111/j.1445-2197.1989.tb01482.x. [DOI] [PubMed] [Google Scholar]
  • 17.Gibson T, Walker FM. Large osteoma of the frontal sinus: method of removal to minimise scarring and prevent deformity. British Journal of Plastic Surgery. 1951;4:210–7. doi: 10.1016/S0007-1226(51)80037-7. [DOI] [PubMed] [Google Scholar]
  • 18.Mugliston TAH, Stafford N. A cranio-facial approach to large osteomas of the fronto-ethmoidal region. The Journal of Laryngology and Otology. 1985;99:979–83. doi: 10.1017/s0022215100098030. [DOI] [PubMed] [Google Scholar]
  • 19.Soboroff BJ, Nykiel F. Surgical treatment of large osteomas of the ethmo-frontal region. The Laryngoscope 1. 1966;761:1068–81. doi: 10.1288/00005537-196606000-00007. [DOI] [PubMed] [Google Scholar]
  • 20.Bracaglia R, Fortunato R, Marando A, Farallo E. Frontal exostose resection during endoscopic subperiosteal lifting: case report. Aesthetic Plast. Surg. 1997;21:122–4. doi: 10.1007/s002669900097. [DOI] [PubMed] [Google Scholar]
  • 21.Onishi K, Maruyama Y, Sawaizumi M. Endoscopic excision of forehead osteoma. J. Craniofac. Surg. 1995;6:516–8. doi: 10.1097/00001665-199511000-00021. [DOI] [PubMed] [Google Scholar]

Articles from Indian Journal of Otolaryngology and Head & Neck Surgery are provided here courtesy of Springer

RESOURCES