Excision of forehead osteomas: experience with 12 patients with use of an endoscopic technique

Endoscopic excision of benign forehead masses has been previously reported on. A variety of pathology occurs on the forehead, and small-sized frontal bone osteoma is definitely a candidate for endoscopic surgery. The purpose of this study is to present our clinical experience with 12 consecutive forehead osteomas that were excised with the aid of an endoscope. With refinements in technique, the area of subperiosteal dissection was kept to a minimum; superficial ostectomy followed by smoothening of the frontal bone surface was efficiently performed. The patients' ages ranged from 20 to 67 years, and the diameter of the lesions varied from 0.8 to 2.2 (mean 1.1) cm. The mean operative time was 15 minutes, and there was no complication that required any other treatment. All the patients were satisfied with the final result. The authors have found that excision of forehead osteoma using an endoscope coupled with proper instruments to be very safe and effective with minimal morbidity.