title: Frontal sinus osteoma: a difficult surgical decision in the era of endoscopic sinus surgery.
abstract: A slow-growing frontal sinus osteoma has been followed up since the year 2001 by clinical, endoscopic, and radiological examination in the Department of Otolaryngology, New Medical Centre Specialty Hospital, Abu Dhabi, for 10 years until the year 2010. The last computed tomography scan of paranasal sinuses was done on April 5, 2010, which revealed increasing size of the osteoma by 38.1 mm; and it has become symptomatic. No specific cause of the sudden change of growth of the osteoma could be evaluated from the history and clinical examination. There was an increase in the frequency of headache and feeling of pressure in the forehead. Choice of surgical approach was difficult in this popular era of endonasal endoscopic sinus approach. A great deal of effort was made after reviewing the literature and consultation with the radiologist and neurosurgeon to accept the bicoronal osteoplastic flap approach. A broad-based posterior frontal sinus is found to be ideal for external approach.
authors.affiliation: Department of ENT, NMC Specialty Hospital, Abu Dhabi, UAE. produl_ent@rediffmail.com
authors.forename: Produl
authors.initials: P
authors.lastname: Hazarika
authors.forename: Plavilayl Koruthu Joyse
authors.initials: PK
authors.lastname: Zachariah
authors.forename: John
authors.initials: J
authors.lastname: Victor
authors.forename: Seema E
authors.initials: SE
authors.lastname: Punnoose
authors.forename: Santosh
authors.initials: S
authors.lastname: Sharma
authors.forename: Chitra
authors.initials: C
authors.lastname: Devi
mesh_terms: D000328:Adult; D001707:Biopsy, Needle; D003657:Decision Making; D004724:Endoscopy / Q000639:trends; D005260:Female; D005500:Follow-Up Studies; D005624:Frontal Bone / Q000601:surgery; D005626:Frontal Sinus / Q000473:pathology / Q000601:surgery*; D006801:Humans; D007150:Immunohistochemistry; D010016:Osteoma / Q000175:diagnosis / Q000601:surgery*; D010255:Paranasal Sinus Neoplasms / Q000175:diagnosis / Q000601:surgery*; D013514:Surgical Procedures, Operative / Q000379:methods*; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome