Endoscopic management of osteomas of the forehead

Serra-Mestre, Jose Maria; Serra-Renom, José María; F, D'Andrea

doi:10.1016/j.bjoms.2015.06.004

Cited by 4 publications

(2 citation statements)

References 9 publications

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“…2 The technique has since been reported in the plastic surgery, ophthalmology, and otolaryngology literature from over a dozen countries. 3,4,[12][13][14][15][16][17][18][19][20][21][22][23] Most studies describe retrospective case series, ranging from 4 to 36 patients. Im et al provides the largest cohort (N = 138) and is the only group to provide a comparison cohort of patients who underwent direct excision of forehead tumors.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Removal of Benign Forehead Tumors: Patient Satisfaction With Decision Making and Scar Outcomes

et al. 2017

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The endoscopic approach is an alternative treatment to direct excision of benign forehead tumors. Prior publications describe the technique and outcomes. Our study assumes a quality improvement perspective, focusing on patient satisfaction with decision making and scar outcomes. This is a retrospective case series study of adult patients who underwent endoscopic removal of benign forehead tumors at Kaiser Permanente Oakland from 2006 to 2016. Data were collected pertaining to surgical outcomes, patient satisfaction using validated instruments. Thirty adult patients were included. Mean operating time was 60 minutes. Forehead tumors included osteomas and a variety of soft tissue lesions. Transient complications included hypoesthesia, seroma, and frontalis weakness. A recurrence of an epidermal inclusion cyst occurred. Patients reported nearly complete satisfaction with decision making and scar outcomes. Endoscopic removal of benign forehead tumors is a safe and effective treatment. Patient satisfaction with decision making and the scar is excellent. Further studies are needed to compare the endoscopic approach to direct excision. The surgeon should offer the endoscopic approach and appropriate counseling to the patient with a benign forehead tumor.

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Section: Discussionmentioning

confidence: 99%

Endoscopic Removal of Benign Forehead Tumors: Patient Satisfaction With Decision Making and Scar Outcomes

et al. 2017

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“…If the osteoma is in the frontal sinus, an anterior ethmoidectomy and Draf II or III frontal sinusotomy opening may be required. 115 Frontal bone osteomas may be reached via an open percutaneous, 23 endoscopic forehead, [116][117][118] or endoscopic endonasal approach. 115 If the lesion is small, a skin incision within a forehead rhytid overlying the lesion provides satisfactory access for resection with an osteotome (Fig.…”

Section: Differential Diagnosismentioning

confidence: 99%

Diagnosis and Management of Craniofacial Osteomas

Langlie

Hullfish

Jabori

et al. 2023

Journal of Craniofacial Surgery

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Importance: Osteoid osteomas are benign bony overgrowths that can occur in any region of the body. However, they have a predilection to occur in the craniofacial region. Because of the rarity of this entity, there is a lack of literature detailing the management and prognosis of craniofacial osteoid osteomas. Observations: Craniofacial osteomas have a predilection to involve the paranasal sinuses, but can also be found within the jaw, skull base, and facial bones. Because of their slow-growing nature, craniofacial osteomas are often incidentally discovered on routine imaging or after they compress nearby structures or distort nearby anatomy. Osteoid osteomas of the face can be treated with resection via various approaches. Recent advancements describe minimally invasive endoscopic techniques and adjuvant therapy with radiofrequency ablation guided by cone biopsy computed tomography. Osteoid osteomas have an excellent prognosis with complete resection. They demonstrate a low incidence of recurrence when compared with other osteoblastic lesions of the craniofacial structures. Conclusions and Relevance: Craniofacial osteoid osteomas remain a developing topic within the field of craniofacial surgery. Their removal may be trending toward minimally invasive techniques. However, all treatment modalities appear to result in improved cosmetic outcomes and low recurrence rates.

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Treatment of Symptomatic Osteoma on Eyebrow Using Adjacent Supraorbital Neuroperiosteal Flap

Choi

Park

Choi

2016

Journal of Craniofacial Surgery

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Osteomas grow slowly, blocking or compressing adjacent structures, and frequently causing aesthetic deformity. Although most patients remain asymptomatic, development of facial pain and headaches due to compression of adjacent sensory nerves is not uncommon. Depending on the location of osteoma, many techniques were introduced to remove it. If the osteoma was located close to important structures such as nerves and vessels, surgeons can be concerned about damaging them resulting in unfavorable symptoms to patients. Osteoma is a benign slow-growing osteogenic lesion, composed of well-differentiated mature bone tissue, characterized by the proliferation of compact or cancellous bone, and found in the head and neck region. It is often slow growing and asymptomatic, diagnosed incidentally on radiographs. It can cause deformation of the bone and compression of the adjacent structures such as nerve compression. This case shows how symptomatic osteoma can be successfully extracted.

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Endoscopic management of osteomas of the forehead

Cited by 4 publications

References 9 publications

Endoscopic Removal of Benign Forehead Tumors: Patient Satisfaction With Decision Making and Scar Outcomes

Endoscopic Removal of Benign Forehead Tumors: Patient Satisfaction With Decision Making and Scar Outcomes

Diagnosis and Management of Craniofacial Osteomas

Treatment of Symptomatic Osteoma on Eyebrow Using Adjacent Supraorbital Neuroperiosteal Flap

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