Fibro-osseous and respiratory epithelial hamartoma of the fronto-ethmoid region.
A 31-year-old lady presented to the otorhinolaryngology clinic complaining of right exophtalmus. Imaging studies revealed a right frontal sinus mass, suggestive of a mucocele, and fronto-ethmoidal ground glass opacification. In the operating room, the frontal sinuses were exposed through an osteoplastic flap, and connected to the nasal cavity through a Lothrop-like drainage pathway. The pathologic analysis revealed a frontal sinus mucocele and fibro-osseous and respiratory epithelial hamartoma of the fronto-ethmoid region. In this case report, this rare pathology is discussed, in addition to a thorough elaboration upon the surgical options as dictated by the anatomic complexity of the region.
Chahine
Karim
K
Department of Otolaryngology Head and Neck Surgery, University of Balamand, St. George University Medical Center, Beirut, Lebanon. k.chahine@excite.com
Tohme
Souheil
S
Rassi
Sahar
S
Mansour
Amira
A
D000328:Adult; D005260:Female; D006222:Hamartoma / Q000175:diagnosis*; D006801:Humans; D009078:Mucocele / Q000175:diagnosis / Q000601:surgery; D010254:Paranasal Sinus Diseases / Q000175:diagnosis*; D020545:Respiratory Mucosa / Q000601:surgery*