ETHMOID OSTEOMA WITH FRONTAL AND FRONTOBASAL EXTENSION

Murat Coşar,Hüsniye Dilek,Adem Aslan,Sefa Dereköy,Olcay Eser,Abdullah Ayçiçek

doi:10.29333/ejgm/82575

Murat Coşar, Hüsniye Dilek + Show 4 more

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https://doi.org/10.29333/ejgm/82575

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Abstract

Paranasal sinus osteomas are benign slow growing tumors, occasionally known to cause complications for a long time. Frontobasal extension of paranasal sinus osteoma is an uncommon localization. We present a 20 year-old-man admitted to our clinic with a complaint of pus drainage and wound from forehead for 2 weeks. The radiological images of the patient revealed a mass mimicking osteoma and extending into the frontal sinus and frontobasal area with a chronic infection. The patient was initiated antibiotics for 2 weeks and the mass was extirped through the destructed anterior wall of frontal sinus. The histopathological diagnosis was osteoma and the patient was discharged uneventfully at the 7th day after the operation.

Highlights

The frontobasal extension of the osteoma is uncommon, it is the most frequent benign tumor of the paranasal sinuses [1,2,3,4,5]
We present an ethmoidal osteoma extending into the frontal sinus and frontobasal which was treated surgically
Most authors agree that symptomatic osteomas should be treated surgically, but there is some controversy regarding the management of asymptomatic osteomas [5,12,13]

Summary

ETHMOID OSTEOMA WITH FRONTAL AND FRONTOBASAL EXTENSION

Kocatepe University, Faculty of Medicine, Departments of Neurosurgery, Otorhinolaryngology and Pathology, Afyonkarahisar, Turkey. Paranasal sinus osteomas are benign slow growing tumors, occasionally known to cause complications for a long time. Frontobasal extension of paranasal sinus osteoma is an uncommon localization. We present a 20 year-old-man admitted to our clinic with a complaint of pus drainage and wound from forehead for 2 weeks. The radiological images of the patient revealed a mass mimicking osteoma and extending into the frontal sinus and frontobasal area with a chronic infection. The patient was initiated antibiotics for 2 weeks and the mass was extirped through the destructed anterior wall of frontal sinus. The histopathological diagnosis was osteoma and the patient was discharged uneventfully at the 7th day after the operation

INTRODUCTION

DISCUSSION