Osteoma of the Frontal Sinus. Operation for Removal

Lg, Brown

doi:10.1177/003591573002300451

Cited by 2 publications

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“…[612] The frontal-ethmoidal sinus is the most frequent site in the paranasal sinuses and even so majority of these are micro lesions averaging about 5 mm in size and hence are usually asymptomatic. [351214] Larger lesions, those up to 30 mm in diameter, are still more infrequent, but are more wont to be symptomatic by causing varying nasal/paranasal sinus inflammatory/infective and obstructive symptoms, and occasional intracranial/orbital complications. [2467131417] Surgical resection is then called for and many of these less than 30 mm lesions are safely excised via sundry minimally invasive techniques including external fronto-ethmoidectomy and even endoscopic endonasal methods.…”

Section: Introductionmentioning

confidence: 99%

A giant, complex fronto-ethmoidal ivory osteoma: Surgical technique in a resource-limited practice

Adeleye

2010

Surg Neurol Int

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Background:Unlike small and medium size fronto-ethmoidal osteomas which are amenable to surgical excision through limited craniofacial openings, giant lesions require extensive and complex craniofacial dissection, and post lesionectomy reconstruction using an array of modern-day surgical adjuncts. This is a report of our surgical technique for the successful and esthetically fair operative resection of a giant fronto-ethmoidal osteoma in a difficult practice setting.Case Description:A 32-year-old Nigerian lady harbored a giant complex fronto-ethmoidal ivory osteoma. Deploying our understanding of modern-day advanced microsurgical anatomy and technique of skull base surgery, but under severe resource limitations, a radical total surgical resection was performed and an esthetically fair post lesionectomy reconstruction was achieved. The patient remains tumor-free in 20 months, so far, of postoperative follow-up.Conclusions:Even under severe resource limitations, inventive adaptations of modern-day skull base surgery techniques can facilitate hitherto unusual functional and esthetically successful resection of giant osteomas of the fronto-ethmoidal sinus complex.

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Section: Introductionmentioning

confidence: 99%

A giant, complex fronto-ethmoidal ivory osteoma: Surgical technique in a resource-limited practice

Adeleye

2010

Surg Neurol Int

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“…Before the advent of the roentgen ray, it was considered extremely rare, but in recent years some authors have expressed the opinion that it was fairly common. The great majority of reports have been of single cases, there being only twenty reports with 2 (Home, 1799;Lambì, 1857;Arnold, 1873;Hutchinson, 1888;Kikusi, 1888;Mitvalsky, 1894;Hamilton, 1901;Manasse, 1910;Boardman and Donovan, 1918;Harper, 1927;Fröding, 1929;Sackin, 1929;Birch-Hirschfeld, 1930;Brown, 1930;Armitage, 1931;Carmody, 1932;Roger, 1932;Neumann, 1934;Matolcsy, 1936, anddi Marzio, 1936), six with 3 cases (MacKenzie, 1854; Mackenty, 1924;Claus, 1927;Harris, 1928;Fetissof, 1929, andCausse, 1934), one with 4 cases (Carmody, 1935), one with 6 (Coppez, 1895), one with 9 cases (Childrey, 1939) and one with 30 cases (Sattler, 1938 (1934), 134 cases; Carmody (1935), 103 cases; Gatewood and Settel (1935), 147 cases, and Malan (1938), 178 cases. Faulkner (1924) stated that in twenty years at the last-named institution he had seen but 3 cases of osteoma of the frontal sinus.…”

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Primary Osteoma of the Frontal Sinus

Teed¹

1941

Archives of Otolaryngology - Head and Neck Surgery

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Osteoma originating in the confines of the frontal sinus is designated "primary" or "primitive," as opposed to the secondary type, which invades the sinus from without. An example of such a lesion is presented in the following case :REPORT OF CASES G. A., a white man aged 22, was admitted to St. Joseph's Mercy Hospital, Ann Arbor, Mich., June 8, 1938. He had been perfectly well until about two weeks before admission, when he caught cold. The infection was mild, and there were no unusual symptoms until six days before admission, when he began to note pain over the right eye. This continued for two or three days, after which he began to notice a fulness in the right upper lid. This gradually increased, so that when the patient was admitted to the hospital the lids were entirely closed. Pain had also increased and extended over the entire forehead and vertex. It had been practically constant and of a boring character. During the past week there had been a moderate amount of mucopurulent discharge from the nose, but no obstruction. There had been no complaints referable to the throat or ears. The patient was first seen by an oculist, Dr. A. S. Barr, who believed that the trouble was originating in the sinuses and referred him to me.Physical Examination.\p=m-\The patient appeared to be acutely ill. He was unable to open his right eye because of a red swelling of the lids, particularly the upper. The swelling also extended halfway up the forehead. The left eye appeared to be normal. No area of softening appeared on either the lid or forehead, and there was no discharge from the eye. Palpation revealed a tender, boggy swelling over the right supraorbital region, but no fluctuation could be detected. When the lid was opened, the conjunctiva was seen to be red and edematous, but no abscess could be made out. Tenderness was also present along the right side of the root of the nose. The nares were clean. The septum was slightly deflected to the left, but no obstruction was present. The turbinates were somewhat congested on both sides, particularly on the right. There was edema with a small amount of purulent discharge in the anterior portion of the right middle meatus. The left nasal fossa was quite clean, and the nasopharynx was normal. Transillumination of the antrums and the left frontal sinus gave negative results ; swelling prevented examination of the right frontal sinus. The teeth showed several cavities. The tongue was heavily coated, the pillars of the fauces were injected and the tonsils were medium sized and septic. The larynx and ears were normal throughout. Examination of the heart, lungs and abdomen gave essentially negative results. The temperature was 101 F., the pulse rate 90 and respirations 22.Read at a meeting of the staff of St.

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Osteoma of the Frontal Sinus. Operation for Removal

Cited by 2 publications

References 0 publications

A giant, complex fronto-ethmoidal ivory osteoma: Surgical technique in a resource-limited practice

A giant, complex fronto-ethmoidal ivory osteoma: Surgical technique in a resource-limited practice

Primary Osteoma of the Frontal Sinus

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