Tags

Type your tag names separated by a space and hit enter

Giant ethmoid osteoma with orbital extension, a nasoendoscopic approach using an intranasal drill.
Laryngoscope. 2001 Mar; 111(3):430-2.L

Abstract

OBJECTIVE

Ethmoid osteoma is a slow-growing, benign, and encapsulated bony tumor. Symptoms occur earlier than with osteomas of the frontal sinus because of the small volume of the ethmoid sinus. Interestingly, orbital extension is uncommon. Treatment remains controversial, with open procedures typically being used. In this article, we present a less invasive yet safe and effective approach to treatment.

STUDY DESIGN

A nasoendoscopic approach using a Stammberger-Saches intranasal drill was developed for treatment of patients with ethmoid osteoma, with or without orbital extension. Between 1995 to 1999, seven patients underwent the new surgical procedure.

METHODS

All procedures were performed under general anesthesia. Using 0 degrees and 30 degrees endoscopes, surface anesthesia of the nasal mucosa was performed, the anterior ethmoid cell was resected, and the whitish osteoma found. The osteoma was drilled out inferolaterally to superomedially. In the patient with orbital extension, a double-ended blunt elevator was used to separate the remaining osteoma from the lamina papyracea and to push the residual osteoma medially toward the nasal septum. With alternate drilling and elevation, the osteoma was gently removed. The surgical site was then packed.

RESULTS

The method successfully treated all patients. There were no major complications. The single patient with orbital extension had mild postoperative periorbital ecchymoses. Nasoendoscopy showed normal epithelialization 4 to 6 weeks after surgery. Computed tomography showed no residual tumors 6 months after surgery.

CONCLUSION

The 30 degrees nasoendoscopic approach using an intranasal drill provides a good operative field and is a safe and effective technique, with the potential to become the treatment of choice in selected cases.

Authors+Show Affiliations

Department of Otorhinolaryngology, Taipei Municipal Women's and Children's Hospital, 12 Foo-Chou St., Taipei, Taiwan, Republic of China.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

11224771

Citation

Huang, H M., et al. "Giant Ethmoid Osteoma With Orbital Extension, a Nasoendoscopic Approach Using an Intranasal Drill." The Laryngoscope, vol. 111, no. 3, 2001, pp. 430-2.
Huang HM, Liu CM, Lin KN, et al. Giant ethmoid osteoma with orbital extension, a nasoendoscopic approach using an intranasal drill. Laryngoscope. 2001;111(3):430-2.
Huang, H. M., Liu, C. M., Lin, K. N., & Chen, H. T. (2001). Giant ethmoid osteoma with orbital extension, a nasoendoscopic approach using an intranasal drill. The Laryngoscope, 111(3), 430-2.
Huang HM, et al. Giant Ethmoid Osteoma With Orbital Extension, a Nasoendoscopic Approach Using an Intranasal Drill. Laryngoscope. 2001;111(3):430-2. PubMed PMID: 11224771.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Giant ethmoid osteoma with orbital extension, a nasoendoscopic approach using an intranasal drill. AU - Huang,H M, AU - Liu,C M, AU - Lin,K N, AU - Chen,H T, PY - 2001/2/27/pubmed PY - 2001/4/3/medline PY - 2001/2/27/entrez SP - 430 EP - 2 JF - The Laryngoscope JO - Laryngoscope VL - 111 IS - 3 N2 - OBJECTIVE: Ethmoid osteoma is a slow-growing, benign, and encapsulated bony tumor. Symptoms occur earlier than with osteomas of the frontal sinus because of the small volume of the ethmoid sinus. Interestingly, orbital extension is uncommon. Treatment remains controversial, with open procedures typically being used. In this article, we present a less invasive yet safe and effective approach to treatment. STUDY DESIGN: A nasoendoscopic approach using a Stammberger-Saches intranasal drill was developed for treatment of patients with ethmoid osteoma, with or without orbital extension. Between 1995 to 1999, seven patients underwent the new surgical procedure. METHODS: All procedures were performed under general anesthesia. Using 0 degrees and 30 degrees endoscopes, surface anesthesia of the nasal mucosa was performed, the anterior ethmoid cell was resected, and the whitish osteoma found. The osteoma was drilled out inferolaterally to superomedially. In the patient with orbital extension, a double-ended blunt elevator was used to separate the remaining osteoma from the lamina papyracea and to push the residual osteoma medially toward the nasal septum. With alternate drilling and elevation, the osteoma was gently removed. The surgical site was then packed. RESULTS: The method successfully treated all patients. There were no major complications. The single patient with orbital extension had mild postoperative periorbital ecchymoses. Nasoendoscopy showed normal epithelialization 4 to 6 weeks after surgery. Computed tomography showed no residual tumors 6 months after surgery. CONCLUSION: The 30 degrees nasoendoscopic approach using an intranasal drill provides a good operative field and is a safe and effective technique, with the potential to become the treatment of choice in selected cases. SN - 0023-852X UR - https://www.unboundmedicine.com/medline/citation/11224771/Giant_ethmoid_osteoma_with_orbital_extension_a_nasoendoscopic_approach_using_an_intranasal_drill_ L2 - https://doi.org/10.1097/00005537-200103000-00010 DB - PRIME DP - Unbound Medicine ER -