Department of Head and Neck Surgery, Hôpital Lariboisière, Paris, France.
Head Neck. 2013 Feb;35(2):201-4. doi: 10.1002/hed.22945. Epub 2012 Feb 6.
BACKGROUND: Ethmoid sinus osteomas are uncommon, benign, osteogenic tumors. The purpose of this retrospective study was to describe their usual clinical presentation and to discuss their surgical management. METHODS: The medical records of 25 patients treated for ethmoid osteoma between March 2001 and December 2010 were retrospectively reviewed. RESULTS: The average tumor size was 18.5 ± 14 mm. Only 3 patients were asymptomatic, 14 had a history of frontal sinusitis (complicated with orbital cellulitis in 4 cases), and 4 patients presented with diplopia. An endoscopic approach was performed in 19 cases, a coronal approach in 4 cases, and a combined approach (endoscopic + coronal) in 2 cases. No recurrence was reported. CONCLUSION: Ethmoid sinus osteoma can be asymptomatic and detected incidentally on CT scans, but often causes frontal sinusitis and orbital complications. The endoscopic approach offers the possibility of safe removal with cosmetic advantages compared to coronal approach.
背景：筛窦骨瘤是一种不常见的良性成骨性肿瘤。本回顾性研究的目的是描述其常见的临床表现，并讨论其手术治疗方法。
方法：回顾性分析 2001 年 3 月至 2010 年 12 月期间 25 例接受筛窦骨瘤治疗的患者的病历。
结果：平均肿瘤大小为 18.5 ± 14 mm。仅 3 例患者无症状，14 例有额窦炎病史（4 例并发眶蜂窝织炎），4 例患者出现复视。19 例采用内镜入路，4 例采用冠状入路，2 例采用联合入路（内镜+冠状）。无复发报告。
结论：筛窦骨瘤可以无症状，在 CT 扫描时偶然发现，但常引起额窦炎和眶部并发症。与冠状入路相比，内镜入路具有安全切除的可能性，且美容效果更好。
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