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Related Experiment Video

Updated: Apr 26, 2026

Lateral Molar Approach-Driven Transoral Endoscopic Procedure for Benign Infratemporal Fossa Tumor Resection
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Fronto-ethmoidal osteoma. Open treatment.

Gabriele Reale, Claudio Ungari, Emiliano Riccardi

    Annali Italiani Di Chirurgia
    |July 31, 2014
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    Summary

    Benign osteomas of the frontal and ethmoid sinuses can cause symptoms due to obstruction. Surgical excision, particularly via open techniques, provides complete tumor removal without recurrence for these paranasal sinus osteomas.

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    Area of Science:

    • Otolaryngology
    • Neurosurgery
    • Oncology

    Background:

    • Osteomas are benign bone tumors that can affect facial bones, frequently involving the frontal and ethmoid sinuses.
    • While often asymptomatic, osteomas can cause symptoms like sinusitis, headache, or ophthalmologic issues due to sinus obstruction or expansion.

    Purpose of the Study:

    • To evaluate the treatment and outcomes of patients with non-syndromic fronto-ethmoidal osteomas.
    • To assess the efficacy and safety of surgical management for these tumors.

    Main Methods:

    • A review of 21 patients with fronto-ethmoidal osteomas treated between 2005 and 2010.
    • Data collected included patient demographics, symptoms, diagnosis, treatment, radiological findings, and post-treatment results.
    • All patients underwent CT scans for diagnosis and follow-up, with a minimum 5-year observation period post-surgery.

    Main Results:

    • All 21 patients underwent surgical excision of the osteoma.
    • Postoperative CT scans confirmed complete tumor removal in all cases.
    • No complications or recurrences were observed during the follow-up period.

    Conclusions:

    • Surgical management, specifically total excision, is the primary treatment for symptomatic or expansile osteomas.
    • Open surgical techniques offer wide exposure and better control, ensuring complete removal and preventing recurrence.
    • While small, asymptomatic osteomas may be monitored, surgical intervention is recommended for problematic lesions.