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Paranasal sinus osteomas.
Fatih Çelenk1, Elif Baysal, Zeynel Abidin Karata
1Department of Otorhinolaryngology, Gaziantep University Faculty of Medicine, Sahinbey, Gaziantep, Turkey. facelenk@yahoo.com
The Journal of Craniofacial Surgery
|September 15, 2012
Summary
Paranasal sinus osteomas are benign tumors. Surgical treatment, often endoscopic, effectively removes these tumors, with most patients becoming symptom-free after surgery.
Area of Science:
- Otolaryngology
- Neurosurgery
- Oncology
Background:
- Osteomas are the most common benign tumors of the paranasal sinuses.
- They often remain asymptomatic until significant growth occurs.
- Etiology remains debated, with embryologic, traumatic, and infective theories proposed.
Purpose of the Study:
- To analyze surgical outcomes for paranasal sinus osteomas.
- To evaluate patient demographics, tumor characteristics, and surgical approaches.
- To assess the efficacy and complications of surgical interventions.
Main Methods:
- Retrospective analysis of 25 patients with paranasal sinus osteomas treated surgically (2005-2011).
- Data collected included patient age/sex, tumor size/location, surgical approach, and follow-up outcomes.
- Diagnosis confirmed by computed tomography and histopathology.
Main Results:
- The study included 16 women and 9 men (mean age 38.7 years).
- Most common locations were ethmoid (56%) and frontal (36%) sinuses; mean tumor size was 2.04 cm.
- Endonasal endoscopic surgery was performed in 19 cases, with high success rates and minimal complications.
Conclusions:
- Surgical management of paranasal sinus osteomas yields favorable outcomes.
- Endoscopic techniques are increasingly favored, but external approaches remain crucial for large or complex tumors.
- Revision surgery was required in two cases, both ultimately successful.
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