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Updated: Aug 21, 2026
Endaural Endoscopic Atticoantrotomy (Retrograde Mastoidectomy) using a Constant Suction Bone-drilling Technique
Published on: May 23, 2021
[Paranasal sinus osteomas. Revision of 14 cases]
N Rodríguez Prado1, J L Llorente Pendás, A Del Campo Rodríguez
1Servicio de Otorrinolaringología, Hospital Universitario Central de Asturias, Oviedo. nuriarp74@hotmail.com
Objective:
To present our experience in the management of paranasal sinus osteomas.
Material And Methods:
We review 14 patients with frontoethmoidal osteomas removed in our hospital between 1988-2001. The initial symptoms, site and size of the lesions, surgical approaches and short and long term complications were assesed.
Results:
The most common symptom in our series was headache (57%); most of the tumors were located in frontal (35%) and frontoethmoidal (35%) regions with a mean size of 4.2 cm (maximum diameter) at the time of surgery. All symptomatic osteomas were resected by classic external surgical approaches but two cases were removed by endonasal surgery.
Discussion:
Although osteomas are benign tumors, they may enlarge progressively and produce complications. Their resection is not free of risks, so there is some controversy about the management of asymptomatic patients. Endonasal surgery reduces the morbidity of the treatment but the location and size of the lesions do not allow to employ this technique in all cases.
