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Paranasal sinus osteomas: Diagnosis and treatment
H Chahed1, H Hachicha1, R Bachraoui1
1Department of ear, nose and otorhinolaryngology and cervicofacial surgery of Rabta hospital, Jebel Lakhdar Bab Saadoune, 1007 Tunis, Tunisia.
Summary
Osteomas, common benign tumors of the nose and paranasal sinuses, are best treated with open surgical approaches. While endoscopic techniques are challenging, open surgery offers a reliable solution for these bony tumors.
Area of Science:
- Otolaryngology
- Neurosurgery
- Oncology
Background:
- Osteomas are the most frequent benign tumors affecting the nose and paranasal sinuses.
- These slow-growing bony tumors are often asymptomatic and predominantly occur in the frontal and ethmoid sinuses.
- The precise origin of osteomas remains a subject of ongoing research and discussion.
Purpose of the Study:
- To detail the diagnostic circumstances of nasosinusal osteomas in a specific patient cohort.
- To establish clear indications for both open and endoscopic surgical interventions for these tumors.
- To analyze treatment outcomes and compare surgical approaches for paranasal sinus osteomas.
Main Methods:
- A retrospective analysis was performed on patient records from 1990 to 2013.
- Data collected included diagnosis details and the type of surgical treatment administered.
- Patient files for 45 individuals treated for paranasal sinus osteomas were reviewed.
Main Results:
- Headache was the most prevalent symptom, reported by all patients.
- The frontal sinus was the most common site, accounting for 30 cases.
- Open surgery was performed in 39 cases, with endoscopic assistance in 4, and a combined approach in 1. Overall complication rate was 11.1%, with symptom improvement in all patients and two recurrences.
Conclusions:
- Surgical indications for paranasal sinus osteomas are generally established, but the optimal surgical approach remains debated.
- The study favored open surgical procedures for treating nasosinusal osteomas.
- Endoscopic techniques, while effective when indicated, require advanced instrumentation and extensive surgical experience.
