Peculiarities of surgical treatment of craniofacial osteomas

Abstract

The purpose. To study features of craniofacial osteomas clinical flow and their surgical treatment.Materials and methods. The results of examination and surgical treatment of 14 patients with craniofacial osteomas and 2 — with fibrous dysplasia were analyzed.Results. In 9 patients wide craniotomy (bifrontal and frontotemporal approaches) was performed. At smaller tumor size, in particular, it’s intracranial part, we used subcranial approach (in 5 cases); at deeply located tumor — endoscopic endonasal approach was applied (in 2 cases).Conclusions. Optimal surgical approaches were proposed taking into consideration features of craniofacial osteomas, in particular, their possible giant size and tissue hardness. The possibility to minimize surgical approach was proved.