Turan Şükrü, Kaya Ercan, Pınarbaşlı Mehmet Özgür, Çaklı Hamdi
Department of Otorhinolaryngology, Eskişehir Osmangazi University School of Medicine, Eskişehir, Turkey.
Turk Arch Otorhinolaryngol. 2015 Dec;53(4):144-149. doi: 10.5152/tao.2015.1149. Epub 2015 Dec 1.
Paranasal sinus osteomas are benign tumors that are smooth-walled, slow-growing, and induced by bone tissue. Although their most common localization is the frontal sinus, some osteomas are seen in the ethmoid, maxillary, and sphenoid sinuses. Frontal sinus osteomas are often asymptomatic; however, when they become symptomatic, headache is the most common complaint. In this study, we aimed to analyze the postoperative results of patients who were diagnosed with frontal sinus osteoma and were operated with appropriate surgical techniques.
We retrospectively evaluated 14 patients who were diagnosed with frontal sinus osteoma and were operated in our department between March 2009 and July 2014. The following parameters were analyzed: patients' age and gender, complaints at the time of admission to our clinic, pathological findings from physically examination, tumor features observed in preoperative paranasal sinus computed tomography (size and localization), surgical methods applied, intra- and postoperative complications, and recurrence rates. All patients preoperatively provided informed consent.
Of the 14 patients, 7 were males and 7 were females, with a mean age of 40.57 years. A total of 11 (79%) osteomas were located within the frontal sinus and 3 (21%) within the frontal recess. External surgical approach was performed to 11 patients, endoscopic approach was performed to 2 patients and external and endoscopic approach was performed to 1 patient together.
Although the preferred surgical method in frontal sinus osteoma depends depended on size and localization of tumors, experience of surgeon is also important. Although the external surgical approach is appropriate for large and laterally localized osteomas, the endoscopic approach is appropriate for small and inferomedially localized osteomas. In both surgical approaches the site of origin should be drilled.
鼻窦骨瘤是一种良性肿瘤，其壁光滑、生长缓慢，由骨组织构成。虽然其最常见的发生部位是额窦，但也可见于筛窦、上颌窦和蝶窦。额窦骨瘤通常无症状；然而，当出现症状时，最常见的主诉是头痛。在本研究中，我们旨在分析被诊断为额窦骨瘤并采用适当手术技术进行手术的患者的术后结果。
我们回顾性评估了2009年3月至2014年7月间在我科被诊断为额窦骨瘤并接受手术的14例患者。分析了以下参数：患者的年龄和性别、入院时的主诉、体格检查的病理结果、术前鼻窦计算机断层扫描观察到的肿瘤特征（大小和位置）、应用的手术方法、术中及术后并发症以及复发率。所有患者术前均签署了知情同意书。
14例患者中，男性7例，女性7例，平均年龄40.57岁。共有11例（79%）骨瘤位于额窦内，3例（21%）位于额隐窝内。11例患者采用了外部手术入路，2例患者采用了内镜入路，1例患者同时采用了外部和内镜入路。
虽然额窦骨瘤首选的手术方法取决于肿瘤的大小和位置，但外科医生的经验也很重要。虽然外部手术入路适用于较大且位于外侧的骨瘤，但内镜入路适用于较小且位于内下侧的骨瘤。在两种手术入路中，均应钻除肿瘤起源部位。
