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[Diagnosis and treatment of nasal sinus osteoma]
Xiaowen Zhang1, Ruijie Sun, Xiaolan Cai
1Department of Otolaryngology, Qilu Hospital of Shandong University, Jinan, 250012, China.
Objective:
To discuss the clinical characteristic and surgical treatment of nasal sinus osteoma.
Method:
Fifty-one cases with nasal sinus osteoma were diagnosed by nasal sinus X ray or CT scan. All of these osteoma patients were cured by surgical resection. Supraorbital Lynch approach were applied in forty-two cases, lateral rhinotomy Moure approach in 4 cases, Caldwell-Luc approach in 3 cases and Dandy approach that combined with cranium and facial route in 2 cases.
Result:
Operative incisions in all cases healed in 1 period, no complications such as brain spinal fistula occurred. All cases were followed up for 6 months to 5 years, there were no recurrence of osteomas and occurrence of mucus cysts.
Conclusion:
Osteomas in nasal sinus grow slowly. X ray or CT scan is helpful to confirm the diagnosis and choose the surgical approach reasonably.
