Exley R P, Markey A, Rutherford S, Bhalla R K
Department of ENT Surgery,Tameside Hospital,Ashton-under-Lyne,UK.
Department of Otolaryngology - Head and Neck Surgery,Manchester Royal Infirmary,UK.
J Laryngol Otol. 2015 Mar;129(3):283-7. doi: 10.1017/S0022215114003211.
To present the first report of a giant frontal sinus osteoma treated by excision and single-stage reconstruction with custom-made titanium cranioplasty and left orbital roof prostheses.
A 31-year-old man with a history of chronic frontal sinusitis presented with a deforming, painless, midline forehead swelling of 11 years' duration, which had been treated unsuccessfully in Nigeria. Differential diagnosis included both benign and malignant bony tumours. Computerised tomography revealed a giant bony frontal sinus tumour extending beyond the sinus roof and breaching the left orbit, consistent with fibrous dysplasia. Given the extent of the tumour, open craniectomy was performed for surgical extirpation. Histological analysis identified multiple osteomas. This surgical approach achieved excellent cosmesis, with no evidence of recurrence at 12-month follow up.
Forehead swelling may pose diagnostic and management dilemmas for the ENT surgeon; however, effective management is facilitated by a multidisciplinary approach.
报告首例采用定制钛颅骨成形术和左眶顶假体切除并一期重建治疗巨大额窦骨瘤的病例。
一名31岁男性，有慢性额窦炎病史，出现前额中线无痛性畸形肿胀11年，在尼日利亚治疗无效。鉴别诊断包括良性和恶性骨肿瘤。计算机断层扫描显示一个巨大的额窦骨肿瘤，超出窦顶并侵犯左眼眶，符合骨纤维发育不良。鉴于肿瘤范围，行开颅切除术以进行手术切除。组织学分析确定为多发性骨瘤。这种手术方法取得了极佳的美容效果，随访12个月无复发迹象。
前额肿胀可能给耳鼻喉科医生带来诊断和治疗难题；然而，多学科方法有助于有效治疗。
