Giant fronto-ethmoidal osteoma with orbital and intracranial extension: a case report

Authors

  • Prashant S. Gade Department of Neurosurgery, Grant Government Medical College, Mumbai, Maharashtra
  • Vernon Velho Department of Neurosurgery, Grant Government Medical College, Mumbai, Maharashtra
  • Harish Naik Department of Neurosurgery, Grant Government Medical College, Mumbai, Maharashtra
  • Nimesh Jain Department of Neurosurgery, Grant Government Medical College, Mumbai, Maharashtra

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20182725

Keywords:

Giant, Fronto-ethmoidal, Osteoma, Intracranial extension

Abstract

Osteomas of the paranasal sinuses are often small, asymptomatic and incidentally diagnosed on radiological imaging. Giant osteomas, although rare, are clinically significant due to their propensity to cause orbital and intracranial complications. Complete surgical resection is usually possible with good outcome and low recurrence rate. We report a case of 62 years female who presented with proptosis and blurring of vision. Radiological work up revealed giant fronto-ethmoidal osteoma measuring 7.9×5.1×4.8 cm extending into the orbit and along the anterior skull base. Open surgical excision of the osteoma was done via left fronto-orbital approach. This is one of the largest fronto-ethmoidal osteomas reported in the literature till date.

References

Humeniuk-Arasiewicz M, Stryjewska-Makuch G, Janik MA, Kolebacz B. Giant fronto-ethmoidal osteoma –selection of an optimal surgical procedure. Braz J Otorhinolaryngol. 2018;84(2):232-9

Abou Al-Shaar H, El Arjani T, Timms MS, Al-Otaibi F. Giant orbitoethmoidal osteoma: when an open surgical approach is required. Case Rep Otolaryngol. 2015:872038.

Cheng KJ, Wang SQ, Lin L. Giant osteomas of the ethmoid and frontal sinuses: Clinical characteristics and review of the literature. Oncol Lett. 2013;5(5):1724-30.

Vishwakarma R, Joseph ST, Patel KB, Sharma A. Giant frontal osteoma: case report with review of literature. Indian J Otolaryngol Head Neck Surg. 2011;63(1):122-6.

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Published

2018-06-23

Issue

Section

Case Reports