Giant Frontal Osteoma: Case Report with Review of Literature

Abstract

Diagnosis of frontal osteoma is usually by chance, but rarely these can produce exceptional ophthalmologic and neurological complications apart from cosmetic disfigurement. Etiology of frontal osteoma may be multifactorial. Surgical management should be site and size specific. A combination of open surgery and endoscopic methods would help confirm complete removal of the tumor. Here we report a fronto-ethmoidal osteoma of size 7.1 × 5.3 × 5.1 cm which is one of the largest reported in literature. Also, we have done an extensive web search and text based review of the literature on frontal osteoma in terms of its incidence, etiology, pathology, clinical presentation, complications and important developments in management. The available literature and our own experience suggest that even large osteoma arising in the fronto-ethmoid region can be completely removed surgically with minimum complications. The surgical approach can be varied according to the extent of the tumor and patient considerations. A regular follow up is necessary in asymptomatic cases being treated conservatively, in view of the potential complications.

The analysis of 42 observations of paranasal sinus osteoma

“…В качестве альтернативы классической фронтотомии и устранения вышеназванных недостатков при подходе к опухоли через лицевую стенку лобной пазухи предлагают-ся различные варианты остеопластической фронтотомии с использованием эндовидеотехники [15][16][17][18][19].…”

Frontal sinus osteoma with pneumocephalus and progressive hemiparesis

“…However Frontal sinus osteomas are most common of all paranasal sinus osteomas (80%). [1] They are benign and slowgrowing tumors. Osteomas are usually asymptomatic or may remain silent and grow slowly without causing neurological deficit.…”

Frontal Osteoma‐Induced Headache Revealed by Conventional Radiography With a False Negative MRI: Röntgen Strikes Back

“…Osteomas are benign osseous tumors, comprising 11% of benign bone lesions. They are usually seen in young adults and usually arise from frontal sinuses, with reported prevalence rates of 47%‐80% . Osteomas are mostly asymptomatic.…”

“…Osteomas are mostly asymptomatic. Clinical symptoms may arise depending on location and size of the tumor, with the most common reported symptom being headache …”

“…They are usually seen in young adults and usually arise from frontal sinuses, with reported prevalence rates of 47%-80%. 1 Osteomas are mostly asymptomatic. Clinical symptoms may arise depending on location and size of the tumor, with the most common reported symptom being headache.…”