Management of Giant Frontoethmoid Osteoma by Combined Approach

Neizekhotuo B Shunyu; Hanifa Akhtar; Anuradha Deka; Prachurya Tamuli; Prakash Deb

doi:10.7759/cureus.47046

Management of Giant Frontoethmoid Osteoma by Combined Approach

Cureus. 2023 Oct 15;15(10):e47046. doi: 10.7759/cureus.47046. eCollection 2023 Oct.

Authors

Neizekhotuo B Shunyu¹, Hanifa Akhtar¹, Anuradha Deka², Prachurya Tamuli², Prakash Deb³

Affiliations

¹ Otorhinolaryngology, All India Institute of Medical Sciences, Guwahati, Guwahati, IND.
² Otorhinolaryngology, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences, Shillong, IND.
³ Anesthesiology and Critical Care, All India Institute of Medical Sciences, Guwahati, Guwahati, IND.

Abstract

Giant osteomas of the frontoethmoidal region often manifest early with ocular symptoms and intracranial complications. The management involves careful surgical planning of both the approach and reconstruction. In the present case report, a case of giant frontoethmoid osteoma presented with ocular symptoms and cosmetic deformity. The case was managed by a combined endoscopic and open surgical approach along with reconstruction of the sinus wall defect using a pericranial flap and titanium mesh. The outcome was found to be satisfactory with the resolution of ocular symptoms and good cosmesis.

Keywords: ethmoidal sinus; frontal sinus; giant frontoethmoid osteoma; osteoma; surgery.

Publication types

Case Reports