Endoscopic approach for paranasal sinuses osteomas: Our experience and review of literature

Romano, Antonio; Orabona, Giovanni Dell’Aversana; Pansini, Antonio; Abbate, Vincenzo; Cama, Antonia; İaconetta, Giorgio; Califano, Luigi

doi:10.1016/j.omsc.2019.100094

Cited by 4 publications

(3 citation statements)

References 24 publications

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“…Advancements in endoscopic sinus surgery have expanded its indications in osteoma removal, preserving vital structures and reducing postoperative morbidity [16]. This approach is preferred for small osteomas without significant orbital extension [19]. However, possible surgical complications increase with the size of the tumor and its adherence to surrounding structures [10].…”

Section: Discussionmentioning

confidence: 99%

Challenges in the Surgical Management of Large Osteoma in the Maxillary Sinus: Case Report

Melo,

Azevedo,

Freitas

et al. 2024

BJCR

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Osteoma is a benign neoplasm characterized by slow growth and can be composed of spongy or compact bone. Its symptomatology is directly related to the location, size, and proximity to adjacent structures. Histologically, it is classified as compact, cancellous, or mixed. Although rarely found in the gnathic bones, they are more frequently observed in the paranasal sinuses. This study aims to report a case of osteoma located in the maxillary sinus of a male patient, describing the surgical management performed in a hospital setting. The patient, a 49-year-old male with no systemic diseases, underwent surgical procedure under general anesthesia, including intraoral access, excision of the lesion, and subsequent fixation of the bone fragment. After six months of postoperative follow-up, no recurrences were observed. It is concluded that the definitive treatment of osteoma requires adequate correlation of the clinical picture, selection of the best type of surgical access, consideration of the location, and choice of the most appropriate synthesis method to promote a good prognosis.

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Section: Discussionmentioning

confidence: 99%

Challenges in the Surgical Management of Large Osteoma in the Maxillary Sinus: Case Report

Melo,

Azevedo,

Freitas

et al. 2024

BJCR

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“…A two‐stage option can be planned in case of large tumors, starting with the removal of the osteoma followed by the sinus augmentation after a healing period. In this case, an endoscopic approach would be recommended, 10 since the Caldwell‐Luc technique usually makes the sinus floor elevation highly complex because scar tissue is much more difficult to manipulate than the physiological one 11…”

Section: Discussionmentioning

confidence: 99%

Lateral maxillary sinus floor elevation in the presence of a sinus osteoma: A case report

Mlouka

Tlili

Hamrouni

et al. 2021

Clinical Case Reports

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“…The goal is to achieve complete en bloc resection, protect vital structures, allow adequate drainage of obstructed sinus contents, and optimize aesthetic outcome. 10 An endonasal, external, or combined surgical approach can be used, depending on the location and size of the tumor. The endonasal approach is usually not indicated for giant osteomas and those located far lateral in the frontal sinus or widely attached to the skull base.…”

Section: Discussionmentioning

confidence: 99%

Giant frontal sinus osteoma and its potential consequences: illustrative case

Farah

Poletti

Han³

et al. 2021

Journal of Neurosurgery: Case Lessons

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BACKGROUND Osteomas of the paranasal sinuses are benign, slow-growing bone tumors that can cause a variety of clinical features depending on their size and location. Most osteomas are asymptomatic and located in the frontal sinus. In rare cases, they may grow to extend into the cranial or orbital cavities, resulting in atypical presentations. The authors presented an aggressive case of a frontoethmoidal sinus osteoma with intracranial extension of an inflammatory sinonasal polyp. OBSERVATIONS A 30-year-old man with a history of chronic sinusitis presented to the hospital after three episodes of loss of consciousness, chronic worsening of headache, and decreased sense of smell. Rhinoscopic examination showed mucosal polyps arising from the infundibulum and the superior meatus. Computed tomography showed a fibro-osseous mass in the left frontal sinus. Subsequent brain magnetic resonance imaging with and without contrast revealed a large, septated intracranial left frontal lesion approximately 6.5 cm in diameter that was compressing the underlying brain parenchyma. LESSONS Intracranial extension of frontal sinus osteomas can have dire neurological implications. Early detection of lesions obstructing the paranasal sinuses outlet could prevent intracranial extension of the disease. The surgical approach to such tumors may be endonasal, open cranial, or a combination of both.

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Endoscopic approach for paranasal sinuses osteomas: Our experience and review of literature

Cited by 4 publications

References 24 publications

Challenges in the Surgical Management of Large Osteoma in the Maxillary Sinus: Case Report

Challenges in the Surgical Management of Large Osteoma in the Maxillary Sinus: Case Report

Lateral maxillary sinus floor elevation in the presence of a sinus osteoma: A case report

Giant frontal sinus osteoma and its potential consequences: illustrative case

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