Endoscopic brow approach for frontal osteoma in a pediatric patient

Osteomas are benign bony growths that have been reported following trauma. Previous management of forehead osteomas has centered around direct excision, but there has been a recent interest in endoscopic resection to improve cosmesis. Endoscopic resection has previously been described in adults, but not in children. We describe a case of a 15-year-old who developed a forehead osteoma following trauma that was resected entirely endoscopically, leaving no visible scar with resolution of edema and good cosmetic result as early as post-operative day 9. Our case lends evidence to support the safe and effective use of this technique in adolescents.