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Giant paranasal sinus osteomas: surgical treatment options
Togay Muderris1, Ergun Sevil, Sami Bercin
1From the *Department of Otorhinolaryngology, Head and Neck Surgery, Ataturk Training and Research Hospital; and †Department of Otorhinolaryngology, Head and Neck Surgery, Yildirim Beyazit University Medical Faculty, Ankara, Turkey.
The Journal of Craniofacial Surgery
|June 10, 2014
Summary
Giant paranasal sinus osteomas, rare tumors, can be challenging to remove. This study shows endoscopic and open surgical approaches are safe and effective for complete removal, with good outcomes.
Area of Science:
- Otolaryngology
- Neurosurgery
- Oncology
Background:
- Giant paranasal sinus osteomas are rare, benign bone tumors.
- Their size and adherence to structures pose surgical challenges.
- Complete resection is crucial for symptom relief and preventing complications.
Observation:
- Six cases of giant paranasal sinus osteomas were analyzed.
- Patients presented with symptoms including headache, proptosis, and diplopia.
- Tumors, >3cm, were located in frontal and ethmoid sinuses.
Findings:
- Surgical approaches were tailored: endoscopic, open (osteoplastic flap), or combined.
- All tumors were completely removed with successful outcomes.
- Histopathology confirmed osteoma in all cases; no recurrence at 15-month follow-up.
Implications:
- Customized surgical strategies (endoscopic, open, combined) achieve successful outcomes for giant osteomas.
- Both endoscopic and open approaches are safe and effective.
- Early diagnosis and tailored surgical management are key for giant paranasal sinus osteomas.
