Surgical management and outcome of large orbitocranial osteomas.

OBJECT The goal of this study is to review the surgical management and outcome of patients who were treated for large orbitocranial osteomas at Gulhane Military Medical Academy over a period of 7 years. METHODS Twenty-one patients with large orbitocranial osteomas were evaluated retrospectively. All patients were male and between 19 and 25 years old. Surgery was performed in all patients. The main surgical procedure was resection of the osteoma using orbitotomy and/or craniotomy followed by orbital reconstruction and cranioplasty. Cranioplasty was performed in 16 patients, using methyl methacrylate in 5 patients (31%) and porous polyethylene in 11 patients (69%). Thin, flexible, porous polyethylene was preferred for orbital reconstruction in 10 patients. The cranioplasty materials were attached to the intact bone using miniplates. RESULTS There were no severe postoperative complications. Mild transient periorbital ecchymosis was noted in 19 patients. The mean follow-up period was 11.7 months (range 9-24 months) after surgery. No tumor regrowth was observed in any patient at the end of the follow-up period. CONCLUSIONS Large osteomas of the orbitocranial region must be resected for cosmetic and functional reasons. Selection and planning of the surgical technique should be based on the direction of the tumor growth and on the size of the tumor and the structures that are compressed by the tumor.

[1]  T. Civit,et al.  [Primary bone tumors of the orbit]. , 2010, Neuro-Chirurgie.

[2]  Benatiya Andaloussi ORBITAL OSTEOMA : THREE CASE REPORTS , 2006 .

[3]  N. Lazaridis,et al.  Osteoma of the ethmoidal sinus: a rare case of recurrence. , 2005, The British journal of oral & maxillofacial surgery.

[4]  Y. Izci Management of the large cranial osteoma: Experience with 13 adult patients , 2005, Acta Neurochirurgica.

[5]  E. Drakonaki,et al.  Ethmoidal osteoma with intraorbital extension: excision through a transcutaneous paranasal incision. , 2005, Acta ophthalmologica Scandinavica.

[6]  K. Harish,et al.  Ethmoidal osteoid osteoma with orbital and intracranial extension – a case report , 2005, BMC ear, nose, and throat disorders.

[7]  C. Hessler,et al.  The potential aggressiveness of sinus osteomas , 1988, Skeletal Radiology.

[8]  Ching-Yin Ho,et al.  A huge osteoma of paranasal sinuses with intraorbital extension presenting as diplopia. , 2003, Journal of the Chinese Medical Association.

[9]  S. Santamaria,et al.  Endo-Orbital Osteoma: Two Case Reports , 2002, The Journal of craniofacial surgery.

[10]  J. Fobe,et al.  [Surgery of frontal sinus osteoma]. , 2002, Arquivos de neuro-psiquiatria.

[11]  B. Schick,et al.  The role of endonasal surgery in the management of frontoethmoidal osteomas. , 2001, Rhinology.

[12]  H. Sudhoff,et al.  Osteom der Kieferhöhle , 2001 .

[13]  Kai-nan Lin,et al.  Giant Ethmoid Osteoma With Orbital Extension, a Nasoendoscopic Approach Using an Intranasal Drill , 2001, The Laryngoscope.

[14]  A. Berraho,et al.  Ostéome de l'orbite : A propos d'un cas , 2000 .

[15]  D. Goldenberg,et al.  A large ethmoido-orbital osteoma presenting with epiphora in an 11-year-old boy. , 2000, Journal of pediatric ophthalmology and strabismus.

[16]  A. Berraho,et al.  [Osteoma of the orbit. A case report]. , 2000, Journal Francais d'Ophtalmologie.

[17]  A. Mansour,et al.  Ethmoid sinus osteoma presenting as epiphora and orbital cellulitis: case report and literature review. , 1999, Survey of ophthalmology.

[18]  B. Sires,et al.  Orbital osteoid osteoma. , 1999, Archives of ophthalmology.

[19]  D. Edelstein,et al.  Management of Osteomas of the Paranasal Sinuses , 1998, American journal of rhinology.

[20]  A. McNab Orbital osteoma in Gardner's syndrome. , 1998, Australian and New Zealand journal of ophthalmology.

[21]  A. B. Grayeli,et al.  Anterior skull base osteoid osteoma: case report. , 1998, British journal of neurosurgery.

[22]  F. Haddad,et al.  Cranial osteomas: their classification and management. Report on a giant osteoma and review of the literature. , 1997, Surgical neurology.

[23]  S. C. Chang,et al.  Treatment of Frontal Sinus Osteoma Using a Craniofacial Approach , 1997, Annals of plastic surgery.

[24]  H. Löppönen,et al.  The growth rate of osteomas of the paranasal sinuses. , 1997, Clinical otolaryngology and allied sciences.

[25]  N. Jones,et al.  Fronto-ethmoid osteoma: the place of surgery , 1997, The Journal of Laryngology & Otology.

[26]  D. Savić,et al.  Indications for the surgical treatment of osteomas of the frontal and ethmoid sinuses. , 1990, Clinical otolaryngology and allied sciences.

[27]  T. Calcaterra,et al.  Frontal Sinus Osteoma , 1989, The Annals of otology, rhinology, and laryngology.

[28]  D. B. Mitchell,et al.  Growth of a frontal sinus osteoma , 1987, The Journal of Laryngology & Otology.

[29]  M. Walkinshaw,et al.  Orbital osteoma in Gardner's syndrome. , 1986, American journal of ophthalmology.

[30]  N. Atallah,et al.  Osteomas of the paranasal sinuses , 1981, The Journal of Laryngology & Otology.

[31]  R. Fikentscher,et al.  [Osteoma of the maxillary sinus]. , 1973, Monatsschrift fur Ohrenheilkunde und Laryngo-Rhinologie.

[32]  O. E. Hallberg,et al.  Osteomas of the paranasal sinuses and their treatment. , 1950, Proceedings of the staff meetings. Mayo Clinic.