Torun Mümtaz Taner, Turan Fatih, Tuncel Ümit
Department of Ear Nose and Throat, University of Erzincan, Erzincan, Turkey.
Med Arch. 2014 Jun;68(3):209-11. doi: 10.5455/medarh.2014.68.209-211. Epub 2014 May 31.
Osteomas are slow- growing, benign tumors. They are the most common neoplasms of the paranasal sinuses. They are usually originates from the frontal and ethmoid sinus and much less frequently seen in the maxillary and sphenoid sinuses. Although the lamina papyracea is a part of ethmoid bone, a giant osteoma originated from the lamina papyracea is very uncommon. An osteoma of the paranasal sinus is usually asymptomatic. Headache, proptosis, epiphora, diplopia, dizziness, facial deformity, face pain and cerebral complications are possible symptoms. The treatment of the paranasal osteomas are controversial.
A 65 year old patient that applied with stuffiness and headache to our clinic. She has had a smooth mass in the right nasal cavity. Paranasal sinus tomography showed an osseous lesion, the size of 4x 3 cm, arising from the right lamina papyracea. The mass excised endoscopically and reported as osteoma histopathologically. There was no complication. After 9 months, there was no recurrence.
Giant osteomas of paranasal sinuses, especially originated from the lamina papyracea are rare. They can be treated successfully by endoscopic approaches without any recurrence and complication despite its size.
骨瘤是生长缓慢的良性肿瘤。它们是鼻窦最常见的肿瘤。通常起源于额窦和筛窦，在上颌窦和蝶窦中较少见。尽管纸样板是筛骨的一部分，但起源于纸样板的巨大骨瘤非常罕见。鼻窦骨瘤通常无症状。头痛、眼球突出、流泪、复视、头晕、面部畸形、面部疼痛和脑部并发症是可能出现的症状。鼻窦骨瘤的治疗存在争议。
一名65岁患者因鼻塞和头痛前来我院就诊。她右侧鼻腔有一个质地光滑的肿物。鼻窦CT显示一个大小为4×3厘米的骨性病变，起源于右侧纸样板。通过内镜切除肿物，组织病理学报告为骨瘤。无并发症发生。9个月后，无复发。
鼻窦巨大骨瘤，尤其是起源于纸样板的骨瘤很罕见。尽管其体积较大，但通过内镜手术可以成功治疗，且无复发和并发症。
