Frontoethmoid Osteoma Operated by Combined Approach: A Case Report

Area of Science:

• Otolaryngology
• Neurosurgery
• Surgical Oncology

Background:

• Osteomas are the most frequent benign neoplasms affecting the nose and paranasal sinuses.
• While often asymptomatic, large osteomas can cause symptoms necessitating surgical intervention.
• The frontal sinus is a common site for osteomas, traditionally managed via external approaches.

Purpose of the Study:

• To describe a combined surgical technique for frontoethmoid osteoma resection.
• To evaluate the efficacy and safety of the osteoplastic flap combined with endoscopic resection.
• To present an alternative to traditional external approaches for complex sinonasal osteomas.

Main Methods:

• A combined approach utilizing an osteoplastic flap and endoscopic resection was employed.
• This technique allows for direct visualization and precise removal of frontoethmoid osteomas.
• The method aims to minimize damage to surrounding anatomical structures.

Main Results:

• Complete resection of frontoethmoid osteomas was achieved using the combined method.
• The surgical approach resulted in minimal patient morbidity.
• Endoscopic visualization facilitated precise tumor removal and preservation of adjacent tissues.

Conclusions:

• The combined osteoplastic flap and endoscopic resection is an effective surgical strategy for frontoethmoid osteomas.
• This technique offers a minimally invasive alternative with reduced complications and external scarring.
• Proficient application of this method ensures complete tumor removal and favorable patient outcomes.