Frontoethmoidal osteoma: a stereotactic-assisted sino-orbital approach.
A 28-year-old woman had an extensive osteoma arising in the frontoethmoidal sinuses and involving the orbital roof. The tumor was successfully removed by means of a combined sinus endoscopic and orbital approach, with the assistance of stereotactic localization. The patient had postoperative ptosis, diplopia, and supraorbital nerve anesthesia, which all resolved over a 3-month period. A stereotactic-assisted, sino-orbital approach to selected frontoethmoidal osteomas may provide a viable alternative to an orbitocranial approach.
Selva
Dinesh
D
Oculoplastic and Orbital Unit, Department of Ophthalmology, Royal Adelaide Hospital, Adelaide University, South Australia. raheyes@rah.gov.sa.au
Chen
Celia
C
Wormald
Peter-John
PJ
D000328:Adult; D005005:Ethmoid Sinus / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D005626:Frontal Sinus / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D009915:Orbit / Q000601:surgery; D010016:Osteoma / Q000000981:diagnostic imaging / Q000601:surgery*; D010255:Paranasal Sinus Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D013238:Stereotaxic Techniques; D014057:Tomography, X-Ray Computed