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Endoscopically managed giant frontoethmoidal osteoma with orbital extension.
Dickson Dewantoro1, Fergus Cooper2, Bhaskar Ram2
1Department of Otolaryngology, NHS Grampian, Aberdeen, UK dickson.dewantoro@gmail.com.
BMJ Case Reports
|June 26, 2024
Summary
Giant frontoethmoidal osteomas can invade the orbit, causing eye symptoms. Endoscopic surgery offers a successful, minimally invasive treatment option for these benign sinonasal tumors.
Area of Science:
- Ophthalmology
- Neurosurgery
- Otolaryngology
- Maxillofacial Surgery
Background:
- Sinonasal osteomas are benign tumors that can grow to significant sizes.
- Orbital invasion by sinonasal tumors can lead to vision-threatening complications.
Observation:
- A young adult presented with altered eye appearance and a relative afferent pupillary defect.
- Imaging revealed a giant frontoethmoidal osteoma invading three-quarters of the orbit.
Findings:
- Multidisciplinary team opted for a completely endoscopic excision of the giant sinonasal osteoma.
- Successful surgical outcome was achieved with the endoscopic approach.
Implications:
- Sinonasal osteomas should be considered in the differential diagnosis for orbital compression symptoms.
- Endoscopic management is a viable option for giant sinonasal osteomas with orbital extension.
