Giant osteomas of the ethmoid and frontal sinuses: Clinical characteristics and review of the literature

Giant osteomas of the ethmoid and frontal sinuses ary very rare, with only a few dozen cases reported in the literature. Given their rarity, the clinical characteristics and treatment of this disease remain controversial. In this study, the clinical presentation and surgical methods used to treat three patients with giant osteomas of the ethmoid and frontal sinuses are described, combined with a review of the literature from 1975 to 2011. In total, 45 patients with giant osteomas arising from the ethmoid and frontal sinuses (including the present cases) have been reported in 41 articles. Headache and ocular signs are the most common symptoms. This disease often leads to intracranial or intraorbital complications. The main treatment for giant osteoma is surgery via an external approach. The outcome of surgery for giant osteoma is good, with rare recurrence, no malignant transformation and few persistent symptoms.

[1]  J. D. de Campos,et al.  Frontal osteomas: standardising therapeutic indications , 2011, The Journal of Laryngology & Otology.

[2]  N. Kato,et al.  Frontal sinus mucocele with intracranial extension associated with osteoma in the anterior cranial fossa. , 2011, Neurologia medico-chirurgica.

[3]  A. Leunig,et al.  Surgical management of osteomas of the frontal recess and sinus: extending the limits of the endoscopic approach , 2011, European Archives of Oto-Rhino-Laryngology.

[4]  E. Bulut,et al.  Large Peripheral Osteoma of the Mandible: A Case Report , 2011, International journal of dentistry.

[5]  A. Adeleye.  A giant, complex fronto-ethmoidal ivory osteoma: Surgical technique in a resource-limited practice , 2010, Surgical neurology international.

[6]  J. Fernandez-Miranda,et al.  European position paper on endoscopic management of tumours of the nose, paranasal sinuses and skull base. , 2010, Rhinology. Supplement.

[7]  U. Demir,et al.  A prospective study of paranasal sinus osteomas in 1,889 cases: Changing patterns of localization , 2009, The Laryngoscope.

[8]  S. Mukherji,et al.  Sino-orbital osteoma: a clinicopathologic study of 45 surgically treated cases with emphasis on tumors with osteoblastoma-like features. , 2009, Archives of pathology & laboratory medicine.

[9]  S. Min,et al.  A case report of Gardner syndrome with hereditary widespread osteomatous jaw lesions. , 2009, Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics.

[10]  G. Iannetti,et al.  Osteomas of the Maxillofacial District: Endoscopic Surgery Versus Open Surgery , 2008, The Journal of craniofacial surgery.

[11]  B. Viswanatha.  Middle turbinate osteoma , 2008, Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India.

[12]  D. Kandiloros,et al.  Resection of giant ethmoid osteoma with orbital and skull base extension followed by duraplasty , 2008, World journal of surgical oncology.

[13]  Michael C. Park,et al.  Endonasal ethmoidectomy and bifrontal craniotomy with craniofacial approach for resection of frontoethmoidal osteoma causing tension pneumocephalus. , 2008, Skull base : official journal of North American Skull Base Society ... [et al.].

[14]  P. Castelnuovo,et al.  Frontal sinus osteomas: the window of endonasal endoscopic approach. , 2007, Rhinology.

[15]  A. Rosenberg,et al.  Update on Bone Forming Tumors of the Head and Neck , 2007, Head and neck pathology.

[16]  R. Odland,et al.  Paranasal Sinus Osteomas and Gardner's Syndrome , 2007, The Annals of otology, rhinology, and laryngology.

[17]  W. Fokkens,et al.  Endoscopic and Trans-Fornix Removal of a Giant Orbital-Ethmoidal Osteoma , 2007, Orbit.

[18]  M. Bouayed,et al.  Orbital osteoma: three case reports. , 2006, Bulletin de la Societe belge d'ophtalmologie.

[19]  M. Partheni,et al.  Giant osteoma of the frontoethmoidal sinus associated with two cerebral abscesses. , 2005, The British journal of oral & maxillofacial surgery.

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

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

[22]  R. Saetti,et al.  Ethmoid osteoma with frontal and orbital extension: Endoscopic removal and reconstruction , 2005, Acta oto-laryngologica.

[23]  F. Salzano,et al.  Frontal sinus osteoma and palpebral abscess: case report. , 2005, Revue de laryngologie - otologie - rhinologie.

[24]  A. Brunori,et al.  Life threatening intracranial complications of frontal sinus osteomas: Report of two cases , 2005, Acta Neurochirurgica.

[25]  E. Gönül,et al.  Association of paranasal sinus osteoma and intracranial mucocele--two case reports. , 2004, Neurologia medico-chirurgica.

[26]  A. Kashfi,et al.  Endonasal endoscopic resection of ethmoido-orbital osteoma compressing the optic nerve. , 2003, American journal of otolaryngology.

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

[28]  M. Yaldız,et al.  Giant ethmoid osteoma with orbital extension presenting with epiphora. , 2003, Rhinology.

[29]  P. Wormald,et al.  Frontoethmoidal osteoma: a stereotactic-assisted sino-orbital approach. , 2003, Ophthalmic plastic and reconstructive surgery.

[30]  K. Nabeshima,et al.  Osteoma of the frontal sinus complicated by intracranial mucocele , 2003, Pathology international.

[31]  L. Tan,et al.  Intraparenchymal Tension Pneumatocele Complicating Frontal Sinus Osteoma: Case Report , 2002, Neurosurgery.

[32]  S. Ghosh,et al.  Tension pneumothorax: a difficult diagnosis. , 2001, Emergency medicine journal : EMJ.

[33]  C. Mascott,et al.  Frontal sinus osteoma associated with cerebral abscess formation: a case report. , 2001, Surgical neurology.

[34]  U. Belet,et al.  Huge osteoma of the frontoethmoidal sinus with secondary brain abscess. , 2000, Auris, nasus, larynx.

[35]  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.

[36]  K. Psilas,et al.  Giant aggressive osteoma of the frontal sinus. , 1999, Clinical radiology.

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

[38]  A. Tanaka,et al.  Pneumocephalus associated with ethmoidal sinus osteoma--case report. , 1998, Neurologia medico-chirurgica.

[39]  K. Tokoro,et al.  Intradural extension of mucocele complicating frontoethmoid sinus osteoma: case report. , 1998, Surgical neurology.

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

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

[42]  J. Rappaport,et al.  Pneumocephalus in frontal sinus osteoma: a case report. , 1994, The Journal of otolaryngology.

[43]  R. Holness,et al.  Osteoma of the frontoethmoidal sinus with secondary brain abscess and intracranial mucocele: case report. , 1994, Neurosurgery.

[44]  J. Birchall,et al.  Bony remodelling in an osteoma of the paranasal sinuses , 1993, The Journal of Laryngology & Otology.

[45]  N. Di Lorenzo,et al.  Giant intracranial mucocele secondary to osteoma of the frontal sinuses: report of two cases and review of the literature. , 1993, Surgical neurology.

[46]  M. Schwartz,et al.  Management of a large frontoethmoid osteoma with sinus cranialization and cranial bone graft reconstruction. , 1990, International journal of pediatric otorhinolaryngology.

[47]  B. Bushan,et al.  Giant ivory osteoma of frontal sinus. , 1987, Australasian radiology.

[48]  N. Stafford,et al.  A cranio-facial approach to large osteomas of the fronto-ethmoidal region , 1985, The Journal of Laryngology & Otology.

[49]  Y. Hertzanu,et al.  Frontal osteoma with spontaneous subdural and intracerebral pneumatocele , 1984, The Journal of Laryngology & Otology.

[50]  M. Levine,et al.  Ethmoidal sinus osteoma--a primary cause of nasolacrimal obstruction and dacryocystorhinostomy failure. , 1984, Ophthalmic surgery.

[51]  Newman Mh,et al.  Transcoronal removal of an atypical orbitoethmoid osteoma. , 1983 .

[52]  M. Newman,et al.  Transcoronal removal of an atypical orbitoethmoid osteoma. , 1983, Plastic and Reconstructive Surgery.

[53]  R. Campbell,et al.  Osteoma: an unusual cause of amaurosis fugax. , 1979, Mayo Clinic proceedings.

[54]  A. Adeloye,et al.  Osteoma of the ethmofrontal sinus. Case report. , 1975, Journal of neurosurgery.