Hosseini Seyed Nejat, Alizadeh Ali, Zahedi Afshin
Department of Surgery, Ayatollah Mousavi Hospital, Zanjan University of Medical Sciences, Zanjan, Iran.
J Craniofac Surg. 2016 Nov;27(8):2078-2080. doi: 10.1097/SCS.0000000000003059.
Osteomas are the most common benign tumors of the paranasal sinuses. They are usually localized in the frontal sinus. Giant osteomas of the frontal sinuses are very rare but readily extend into the intraorbital or intracranial cavity, causing serious complications. This is a report of a 14 year-old boy with a bulging in frontal area and asymptomatic giant osteoma of the frontal sinuses. He had a history of minor trauma that had a bulging after 3 months. However, he referred to a plastic surgeon after 15 months. Computed tomography of the sinuses revealed a 3.5 × 6 cm extremely dense bony mass in the frontal sinus that extended into the left orbit and ethmoid sinus. A bicoronal frontal flap was raised with a V-shaped skin incision starting from the tragus placed 5 cm posterior to the hairline. The osteoma was resected completely in the frontal sinus and the anterior wall of frontal sinus was reconstructed with Porex. The patient has not had any complications until the time of writing this report. Titanium mesh may still be a valuable option, but Medpore Porex has shown to be quite effective in this case.
骨瘤是鼻窦最常见的良性肿瘤。它们通常位于额窦。额窦巨大骨瘤非常罕见，但很容易延伸至眶内或颅内腔，引发严重并发症。本文报告了一名14岁男孩，其额部隆起，患有无症状的额窦巨大骨瘤。他有轻微外伤史，3个月后出现隆起。然而，15个月后他才转诊至整形外科医生处。鼻窦计算机断层扫描显示，额窦内有一个3.5×6厘米的极其致密的骨质肿块，延伸至左侧眼眶和筛窦。采用从发际线后5厘米处的耳屏开始的V形皮肤切口掀起双冠状额部皮瓣。在额窦内将骨瘤完全切除，并用Porex重建额窦前壁。在撰写本报告时，该患者未出现任何并发症。钛网可能仍是一种有价值的选择，但在这种情况下，Medpore Porex已显示出相当有效。
