Giant frontal sinus osteoma - case report and literature review

Abstract

Osteomas of paranasal sinuses larger than 3 cm are classified as giant osteomas. A considerable size of these tumors may result in serious complications as well as pose a substantial surgical challenge. We present a case of an adult man with a giant osteoma of right frontal sinus. The neoplasm was removed in an open approach with incision along the brow bridge; an injury to the supraorbital nerve was avoided. The osteotomy was performed with piezosurgery. The anterial wall of the right frontal sinus was reconstructed with bone fragments bound together by titanium plates and mesh. The following discussion presents different possibilities of surgical removal of giant paranasal osteomas.