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Endoscopic Forehead Approach for Minimally Invasive Frontal Osteoma Excision
Ingrid Raponi1, Filippo Giovannetti, Federica Cacciatore
1Department of Maxillofacial Surgery, Sapienza University of Rome, Rome, Italy.
The Journal of Craniofacial Surgery
|November 2, 2020
Summary
Endoscopic surgery offers a minimally invasive approach for benign frontal bone tumors, leading to improved functional and aesthetic outcomes. This technique minimizes complications and visible scarring compared to traditional methods.
Area of Science:
- Neurosurgery
- Otolaryngology
- Plastic Surgery
Background:
- Benign osseous tumors of the frontal bone, such as osteomas, traditionally require open surgical approaches like the coronal incision.
- Conventional methods can lead to significant postoperative complications, including visible scarring, edema, and hematoma.
Observation:
- This study presents a case of endoscopic removal of a frontal bone osteoma using two small incisions concealed within the hairline.
- The endoscopic technique provided enhanced visualization with excellent magnification and illumination.
- The procedure facilitated safe anatomical dissection with minimal bleeding.
Findings:
- The endoscopic approach resulted in no postoperative complications such as hematoma or edema.
- The patient experienced excellent functional and aesthetic outcomes with no visible scarring.
- The minimally invasive nature of the endoscopic technique offers significant advantages over traditional open surgeries.
Implications:
- Endoscopic removal of benign frontal bone tumors represents a viable first-line surgical option.
- This technique promises superior functional and aesthetic results with reduced patient morbidity.
- Further adoption of endoscopic methods could redefine surgical standards for frontal bone pathologies.

