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VOLUME 12 , ISSUE 1 ( January-April, 2019 ) > List of Articles

Clinicopathological Conference Report

A Giant Frontoethmoidal Osteoma: A Case Report with Review of Literature

Shruti Venugopalan, Paresh J Khavdu, Alpesh D Fefar, Yash D Lavana

Citation Information : Venugopalan S, Khavdu PJ, Fefar AD, Lavana YD. A Giant Frontoethmoidal Osteoma: A Case Report with Review of Literature. Clin Rhinol An Int J 2019; 12 (1):38-43.

DOI: 10.5005/jp-journals-10013-1358

License: CC BY-NC 4.0

Published Online: 22-11-2020

Copyright Statement:  Copyright © 2019; The Author(s).


Abstract

Aim: To present a typical case of frontal and ethmoidal osteoma and its management. Methodology/case description: A 45-year-old female presented with a complaint of swelling over the right supraorbital region medially associated with right-sided headache and decreased vision in the right eye. She was diagnosed with right frontoethmoidal osteoma (dense bony lesion of 49 × 34 × 26 mm in both right frontal sinus and anterior ethmoid sinus. Defect in the superomedial orbital wall with intraorbital protrusion on right side) on CT PNS, which was then managed by bilateral endonasal sinus surgery with septoplasty with right frontoethmoidal osteoma excision—combined (endoscopic and external) approach with fascia lata grafting (inner table of frontal bone was dehiscent). No intraoperative or postoperative complications were seen. Results: No complications or recurrence were seen at 1 year follow-up. Complete resolution of symptoms was achieved. Conclusion: Osteoma of paranasal sinuses is amenable to surgery with excellent results and no recurrence.


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