Boysen M
J Otolaryngol. 1978 Aug;7(4):366-70.
Twenty-eight cases of osteomas of the paranasal sinuses are reviewed. The most common localization was the frontal sinus, secondly the ethmoid sinus. Primary osteomas of the maxillary and sphenoid sinus are very rare. The most common complaint was pain. Clinical examination revealed deformity of the forehead and/or face in 13 patients, seven had dislocation of the eyeball as well. In eight cases x-ray, including tomography, and operation showed exposed dura. This gives a potential risk of intracranial complications, demonstrated by one of our patients who had a defect in the dura, and consequently meningitis. Osteomas encroaching on neighboring structures should be extirpated, while smaller osteomas can be left in place provided that they are controlled regularly. Recurrences are rare. When operating we feel that satisfactory cosmetic and functional conditions count more than radicality.
回顾了28例鼻窦骨瘤。最常见的部位是额窦，其次是筛窦。上颌窦和蝶窦的原发性骨瘤非常罕见。最常见的症状是疼痛。临床检查发现13例患者有前额和/或面部畸形，7例还伴有眼球移位。8例经X线检查（包括体层摄影）及手术显示硬脑膜暴露。这存在颅内并发症的潜在风险，我们的一名患者就出现了硬脑膜缺损并因此引发了脑膜炎。侵犯邻近结构的骨瘤应予以切除，而较小的骨瘤如果能定期监测则可留在原位。复发很少见。手术时我们认为满意的美容和功能状况比彻底性更重要。
