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. 2024 Feb;76(1):1237-1239.
doi: 10.1007/s12070-023-04237-8. Epub 2023 Sep 29.

A Giant Frontoethmoidal Ivory Osteoma Causing Cosmetic and Visual Problem: A Case Report

Prince Handa  1 , Anjan Kumar Sahoo  1 , Rohini R Nair  1
Affiliations

A Giant Frontoethmoidal Ivory Osteoma Causing Cosmetic and Visual Problem: A Case Report

Prince Handa et al. Indian J Otolaryngol Head Neck Surg. 2024 Feb.

Abstract

Osteomas are slow growing fibro-osseous lesions. Very rare to occur in paranasal sinuses. Small osteomas don't require any intervention. Giant osteomas may require surgical intervention due to its cosmetic and functional compromises. A 28 year old male presented with swelling over forehead and left orbit for more than 4 years. The swelling is around 6 × 5 cm with gross lateral and inferior deviation of left eyeball. Extradural fronto-ethmoidectomy was done with combined external and endoscopic approach. There was pearly white bony hard, fixed tumor mass seen infiltrating anterior and posterior table of frontal bone. All the tumors removed in piecemeals. Wait and watch policy is the usual treatment policy for small and asymptomatic osteomas. Combine external and endoscopic approach is the treatment of choice for giant frontoethmoid osteoma.

Keywords: Ethmoid sinus; Frontal sinus; Osteoma; Paranasal sinuses.

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Conflict of interest statement

Conflict of interestThe authors claim no conflict of interest. Written informed consent had been sought from the patient regarding the surgery as well as publication for academic interest. The patient had been treated according to the standard protocol of treatment and in compliance with ethical standards.

Figures

Fig. 1
Fig. 1
Pre-op and post-op photograph showing the size and location of lesion
Fig. 2
Fig. 2
NCCT nose and PNS (0.6 mm cuts) showing hyperintense lesion arising from posterior wall of left frontoethmoidal sinus in coronal and axial plane
See this image and copyright information in PMC

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