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Frontoethmoidal and intraorbital osteomas: exploring the limits of the endoscopic approach.
Arch Otolaryngol Head Neck Surg. 2012 May; 138(5):498-504.AO

Abstract

OBJECTIVE

To review our experience with the surgical treatment of frontoethmoidal osteomas, focusing on the osteomas that were either localized laterally in the frontal sinus or showing intraorbital involvement.

DESIGN

Retrospective evaluation.

SETTING

Tertiary care center.

PATIENTS

Patients with symptomatic frontoethmoidal or intraorbital osteomas who had been treated surgically from 1996 through 2011.

INTERVENTION

Sixty frontoethmoidal osteomas were treated surgically. The lesion involved the far lateral portion of the frontal sinus in 23 cases and the orbital region in 6 cases. In 31 cases, a purely endoscopic approach was performed while a combined procedure was used in 25 patients. In 4 patients, an exclusively external approach was required.

MAIN OUTCOME MEASURE

No recurrence of osteoma.

RESULTS

Radical resection was obtained, except in the case of 2 lesions. No osteoma recurrence was observed during a mean follow-up of 72.6 months.

CONCLUSIONS

The size of the osteoma, far lateral extension of the tumor in the frontal sinus beyond the lamina papyracea, and intraorbital involvement are no longer absolute contraindications for purely transnasal endoscopic resection. What is important is that the surgeon should not be dogmatic but rather be ready to change his or her mind during surgery, shifting to an external approach when required.

Authors+Show Affiliations

Department of Otorhinolaryngology, Ospedale di Circolo e Fondazione Macchi, University of Insubria, Varese, Italy. tzmario@inwind.itNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

22652949

Citation

Turri-Zanoni, Mario, et al. "Frontoethmoidal and Intraorbital Osteomas: Exploring the Limits of the Endoscopic Approach." Archives of Otolaryngology--head & Neck Surgery, vol. 138, no. 5, 2012, pp. 498-504.
Turri-Zanoni M, Dallan I, Terranova P, et al. Frontoethmoidal and intraorbital osteomas: exploring the limits of the endoscopic approach. Arch Otolaryngol Head Neck Surg. 2012;138(5):498-504.
Turri-Zanoni, M., Dallan, I., Terranova, P., Battaglia, P., Karligkiotis, A., Bignami, M., & Castelnuovo, P. (2012). Frontoethmoidal and intraorbital osteomas: exploring the limits of the endoscopic approach. Archives of Otolaryngology--head & Neck Surgery, 138(5), 498-504. https://doi.org/10.1001/archoto.2012.644
Turri-Zanoni M, et al. Frontoethmoidal and Intraorbital Osteomas: Exploring the Limits of the Endoscopic Approach. Arch Otolaryngol Head Neck Surg. 2012;138(5):498-504. PubMed PMID: 22652949.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Frontoethmoidal and intraorbital osteomas: exploring the limits of the endoscopic approach. AU - Turri-Zanoni,Mario, AU - Dallan,Iacopo, AU - Terranova,Paola, AU - Battaglia,Paolo, AU - Karligkiotis,Apostolos, AU - Bignami,Maurizio, AU - Castelnuovo,Paolo, PY - 2012/6/2/entrez PY - 2012/6/2/pubmed PY - 2012/7/20/medline SP - 498 EP - 504 JF - Archives of otolaryngology--head & neck surgery JO - Arch Otolaryngol Head Neck Surg VL - 138 IS - 5 N2 - OBJECTIVE: To review our experience with the surgical treatment of frontoethmoidal osteomas, focusing on the osteomas that were either localized laterally in the frontal sinus or showing intraorbital involvement. DESIGN: Retrospective evaluation. SETTING: Tertiary care center. PATIENTS: Patients with symptomatic frontoethmoidal or intraorbital osteomas who had been treated surgically from 1996 through 2011. INTERVENTION: Sixty frontoethmoidal osteomas were treated surgically. The lesion involved the far lateral portion of the frontal sinus in 23 cases and the orbital region in 6 cases. In 31 cases, a purely endoscopic approach was performed while a combined procedure was used in 25 patients. In 4 patients, an exclusively external approach was required. MAIN OUTCOME MEASURE: No recurrence of osteoma. RESULTS: Radical resection was obtained, except in the case of 2 lesions. No osteoma recurrence was observed during a mean follow-up of 72.6 months. CONCLUSIONS: The size of the osteoma, far lateral extension of the tumor in the frontal sinus beyond the lamina papyracea, and intraorbital involvement are no longer absolute contraindications for purely transnasal endoscopic resection. What is important is that the surgeon should not be dogmatic but rather be ready to change his or her mind during surgery, shifting to an external approach when required. SN - 1538-361X UR - https://www.unboundmedicine.com/medline/citation/22652949/Frontoethmoidal_and_intraorbital_osteomas:_exploring_the_limits_of_the_endoscopic_approach_ DB - PRIME DP - Unbound Medicine ER -