[Paranasal sinus osteomas. Revision of 14 cases].
OBJECTIVE
To present our experience in the management of paranasal sinus osteomas.


METHODS
We review 14 patients with frontoethmoidal osteomas removed in our hospital between 1988-2001. The initial symptoms, site and size of the lesions, surgical approaches and short and long term complications were assesed.


RESULTS
The most common symptom in our series was headache (57%); most of the tumors were located in frontal (35%) and frontoethmoidal (35%) regions with a mean size of 4.2 cm (maximum diameter) at the time of surgery. All symptomatic osteomas were resected by classic external surgical approaches but two cases were removed by endonasal surgery.


CONCLUSIONS
Although osteomas are benign tumors, they may enlarge progressively and produce complications. Their resection is not free of risks, so there is some controversy about the management of asymptomatic patients. Endonasal surgery reduces the morbidity of the treatment but the location and size of the lesions do not allow to employ this technique in all cases.
Rodríguez Prado
N
N
Servicio de Otorrinolaringología, Hospital Universitario Central de Asturias, Oviedo. nuriarp74@hotmail.com
Llorente Pendás
J L
JL
Del Campo Rodríguez
A
A
Puente Vérez
M
M
Suárez Nieto
C
C
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010016:Osteoma / Q000601:surgery*; D010255:Paranasal Sinus Neoplasms / Q000601:surgery*