A Case Report in Treatment of the Frontal Sinus Osteoma using Cranial Bone Graft

PURPOSE: An osteoma is one of the common benign tumors that penetrate the nasal portion, paranasal and frontal sinus. This tumor is mostly found by radiation test accidentally, however in rare cases; it can be found to be touched or with its symptoms as the tumor grows. We report this case since we found and healed the benign tumor which was affecting orbit and the both sides of fronal sinus. METHODS: A 19 year old female patient visited to our hospital due to the mass on her forehead. The symptoms began 3 years ago but no special symptom was found except for touchable mass. She was diagnosed as the osteoma of superior orbital parts and both sides of frontal sinus using X-ray and CT scanning. The size of osteoma was 5x2.5x3.5cm and indicated the patterns penetrated to the right side of orbital region. The osteoma excision was conducted with coronal incision and wide area of defect part in frontal sinus and superior orbital part were reconstructed by cranial bone graft and resorbable fixation plates. RESULTS: The patient recovered without any postoperative infections or complications and symptoms. Dysaesthesia was found on her frontal area but improved in 1 month after the surgery. CONCLUSION: The occurrences of osteoma in frontal sinus are rare and can be treated with conservative methods if there are no infections and symptoms. We report this case since we found the benign tumor, which was affecting orbit and the both sides of fronal sinus and healed it with coronal resectomy without any complications.

Clinical Experience in Treatment of the Giant Frontal Sinus Osteoma using Cranialization

Frontal sinus osteoma is one of the rare diseases and is diagnosed incidentally by skull X-ray. After the disease is confirmed, long term follow-up is necessary. The etiology of the disease is usually unknown and almost all of the patients has any kind of symptoms or signs. The most of the symptoms of this disease are pain, headache, swelling and lagophthalmos. Frontal sinus osteoma has characteristic features such as radiopaque, mass like lesion in the frontal sinus. Operation of the frontal sinus osteoma is not necessary unless it has symptoms or infection sign. We experienced one case and operated the osteoma and reconstructed frontal sinus by cranialization and bihalving calvarial bone graft. The result is satisfactory without complication.

Clinical Experience in Treatment of the Giant Frontal Sinus Osteoma using Cranialization

Frontal sinus osteoma is one of the rare diseases and is diagnosed incidentally by skull X-ray. After the disease is confirmed, long term follow-up is necessary. The etiology of the disease is usually unknown and almost all of the patients has any kind of symptoms or signs. The most of the symptoms of this disease are pain, headache, swelling and lagophthalmos. Frontal sinus osteoma has characteristic features such as radiopaque, mass like lesion in the frontal sinus. Operation of the frontal sinus osteoma is not necessary unless it has symptoms or infection sign. We experienced one case and operated the osteoma and reconstructed frontal sinus by cranialization and bihalving calvarial bone graft. The result is satisfactory without complication.