medigraphic.com
Anales de Otorrinolaringología Mexicana

2018, Number 4

<< Back

Otorrinolaringología 2018; 63 (4)

Paranasal sinuses osteoma with orbitary invasion: multidisciplinary management

Patiño-Suárez K, Bravo-Escobar GA, Guzmán-Sánchez M, Brito-Vera JP, Figueroa-Ángel V

Language: Spanish
References: 16
Page: 173-179
PDF size: 401.77 Kb.


ABSTRACT

Osteomas are the most frequent benign neoplasm of paranasal sinus, with a low prevalence, are characterized by slow and progressive growth, often asymptomatic in early stages. In general, treatment varies according to location and complications associated. This paper reports the case of a 26-year-old man, with 3 years history of right proptosis and hypoglobus associated to pain, diplopia and fetid rhinorrhea. Computed tomography (CT) showed a hyperdense lesion in frontal and ethmoidal sinuses, extended to superomedial quadrant of right orbit. Incisional biopsy diagnosed osteoma. Osteoma removal was performed through combined endoscopic and external approach. Most of paranasal sinus osteomas are located in the frontal sinus, in men in the third to fourth decades of life. The osteomas etiology is still unclear. Usually, osteomas are diagnosed incidentally through studies made for other reason or as complications caused by tumor growth, in whose surgical treatment is indicated. Despite osteomas are tumors with slow growth, they can have repercussions, due to the displacement of adjacent structures such as the eyeball, involving not only cosmetic but also functional changes, that can revert to a greater or lesser extent with an adequate surgical management.


REFERENCES

  1. Singh, N, Eskander A, Huang SH, et al. Imaging and resectability issues of sinonasal tumors. Expert Rev Anticancer Ther 2013;13(3):297-312. doi: 10.1586/era.13.5.

  2. Buyuklu F, Akdogan MV, Ozer C, Cakmak O. Growth characteristics and clinical manifestations of the paranasal sinus osteomas. Otolaryngol Head Neck Surg 2011 Aug;145(2):319-23. doi: 10.1177/0194599811403380.

  3. Celenk F, Baysal E, Abidin Z, et al. Paranasal Sinus Osteomas. J Craniofacial Surgery 2012Sep;23(5):433-437. doi: 10.1097/SCS.0b013e31825e4b5b

  4. Gil-Carcedo LM, Gil-Carcedo ES, Vallejo LA, de Campos JM, Herrero D. - Frontal osteomas: standardising therapeutic indications. J Laryngol Otol 2011;125(10):1020-1027. doi: 10.1017/S0022215111001563. Epub 2011 Jul 18

  5. Larrea-Oyarbide N, Valmaseda-Castellón E, Berini-Aytés L, Gay-Escoda C. Osteomas of the craniofacial region: review of 106 cases. J Oral Pathol Med 2008 Jan;37(1):38-42.

  6. Janovic A, Antic S, Rakocevic Z, Djuric M. Paranasal sinus osteoma: is there any association with anatomical variations? Rhinology 2013 May;51(1):54-60. doi: 10.4193/ Rhino12.130.

  7. Arslan HH, Tasli H, Cebeci S, Gerek M. The management of the paranasal sinus osteomas. J Craniofac Surg 2017 May;28(3):741-745. doi: 10.1097/SCS.0000000000003397.

  8. Schick B, Dlugaiczyk J. Benign tumors of the nasal cavity and paranasal sinuses. rhinology and facial plastic surgery. 2009 Jan;377-385. DOI: 10.1007/978-3-540- 74380-4_33

  9. Suárez C, Ferlito A, Lund VJ et al. Management of the orbit in malignant sinonasal tumors. Head Neck 2008;30(2):242-250.

  10. Erdogan N, Demir U, Songu M, Ozenler NK, Uluc E, Dirim B. A prospective study of paranasal sinus osteomas in 1,889 cases: changing patterns of localization. Laryngoscope 2009;119:2355-9.

  11. Lee DH, Jung SH, Yoon TM, Lee JK, Joo YE, Lim SC. Characteristics of paranasal sinus osteoma and treatment outcomes. Acta Oto-Laryngologica 2015;135(6):602-607. doi.org/10.3109/00016489.2014.1003093

  12. Rokade A, Sama A. Update on management of frontal sinus osteomas. Curr Opin Otolaryngol Head Neck Surg 2012 Feb;20(1):40-44. doi: 10.1097/MOO.0b013e32834e9037.

  13. Savastano M, Guarda-Nardini L, Marioni G, Staffieri A. The bicoronal approach for the treatment of a large frontal sinus osteoma. A technical note. Am J Otolaryngol Head Neck Surg 2007 Nov-Dic;28(6):427-29. DOI:10.1016/j. amjoto.2006.10.015

  14. Fobe LP, Melo EC, Cannone LF, Fobe JL. Surgery of frontal sinus osteoma. Arq Neuropsiquiatr 2002 Mar;60(1):101-5.

  15. Savic DL, Djeric DR: Indications for the surgical treatment of osteomas of the frontal and ethmoid sinuses. Clin Otolaryngol Allied Sci 1990 Oct;15(5):397-404.

  16. Boysen M. Osteomas of the paranasal sinuses. J Otolaryngol 1978 Aug;7(4):366-370




2020     |     www.medigraphic.com