Maxillary sinus osteoma: From incidental finding to surgical management.

Area of Science:

• Oral and Maxillofacial Surgery
• Radiology
• Oncology

Background:

• Osteomas are benign, slow-growing osteogenic tumors commonly found in the mandible and craniofacial sinuses.
• Maxillary sinus osteomas are rare, often incidentally discovered via orthopantomogram (OPG).
• Accurate diagnosis is crucial to differentiate osteomas from malignant lesions like osteosarcoma and exclude Gardner's syndrome.

Observation:

• A solitary maxillary sinus osteoma was incidentally identified on an orthopantomogram (OPG).
• The patient presented without stigmas associated with Gardner's syndrome.
• Surgical intervention was performed for the removal of the maxillary sinus osteoma.

Findings:

• The case details the incidental finding and subsequent surgical removal of a rare maxillary sinus osteoma.
• Diagnostic evaluation confirmed the benign nature of the osteoma, ruling out malignancy.
• The patient was confirmed to be free of Gardner's syndrome, despite the presence of an osteoma.

Implications:

• This case underscores the importance of recognizing incidental osteomas on OPGs for timely diagnosis and management.
• It highlights the need for differential diagnosis, distinguishing benign osteomas from aggressive malignancies.
• The successful surgical removal demonstrates a viable treatment option for symptomatic or incidentally discovered maxillary sinus osteomas.