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Large Frontoorbital Osteoma Causing Ptosis.

Nurdoğan Ata1, Mesut Sabri Tezer, Ersen Koç

  • 1*Department of Otorhinolaryngology, Gaziantep 25 Aralik State Hospital, Gaziantep †Department of Otorhinolaryngology, Faculty of Medicine, University of Mersin, Mersin ‡Department of Otorhinolaryngology, Palandöken State Hospital, Erzurum §Department of Otorhinolaryngology, Konya Training and Research Hospital ||Department of Otorhinolaryngology, Selcuk University Faculty of Medicine, Konya, Turkey.

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Summary

Frontal osteomas, benign tumors of the paranasal sinuses, can rarely extend into the orbit. This case highlights a rare intraorbital extension of a frontal osteoma in a teenage boy.

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Area of Science:

  • Otolaryngology
  • Neurosurgery
  • Ophthalmology

Background:

  • Osteomas are the most common benign tumors affecting the paranasal sinuses.
  • The frontal sinus is the most frequent location for osteomas.
  • Intraorbital extension of frontal osteomas is an uncommon presentation.

Observation:

  • A 15-year-old male presented with swelling of the left superior orbital rim and ptosis.
  • Radiographic imaging (Waters view and CT scan) identified a bony mass in the left frontal sinus with extension into the upper orbital wall.

Findings:

  • Surgical excision of the mass was performed through an eyebrow incision.
  • Histopathological examination confirmed the diagnosis of osteoma.

Implications:

  • This case underscores the rare but potential for frontal osteomas to cause orbital complications.
  • Early diagnosis and surgical management are crucial for favorable outcomes in such cases.
  • Highlights the importance of considering paranasal sinus pathology in orbital symptoms.