Plaksyvyi OG, Chyfurko TG, Kalutskyi IV, Mazur OO, Tsurkan MM, Nykyforuk MI
CLINICAL VARIANTS OF OSTEOMAS OF THE PARANASAL SINUSES
Plaksyvyi Oleksandr G
HSEI “Bukovyna State Medical University”
Associate Professor of the Department of Pediatric Surgery, Otolaryngology and Ophthalmology, Head of the Otolaryngology Course
Candidate of Medical Sciences, Associate Professor
E-mail: plaksyvyi.olexandr@bsmu.edu.ua
ORCID ID: https://orcid.org/0000-0002-7836-9188
Scopus Author ID: 6506765982
Chyfurko Taras H
RCNE “Chernivtsi Regional Clinical Hospital”
Head of ENT Department
E-mail: chtg@i.ua
Kalutskyi Ihor V
HSEI “Bukovyna State Medical University”
Associate Professor of the Department of Pediatric Surgery, Otolaryngology and Ophthalmology,
Candidate of Medical Sciences, Associate Professor
E-mail: kalutskyi.ihor@bsmu.edu.ua
ORCID ID: https://orcid.org/0000-0002-2369-3917
Scopus Author ID: 59278198300
Mazur Olha O
HSEI “Bukovyna State Medical University”
Associate Professor of the Department of Pediatric Surgery, Otolaryngology and Ophthalmology,
Candidate of Medical Sciences, Associate Professor
E-mail: mazur.olga@bsmu.edu.ua
ORCID ID: https://orcid.org/0000-0003-0927-1651
Scopus Author ID: 58290377600
Tsurkan Mykhailo M
RCNE “Chernivtsi Regional Clinical Hospital”
doctor otolaryngologist
E-mail: miha050513@gmail.com
Nykyforuk Mykola I
RCNE “Chernivtsi Regional Clinical Hospital”
doctor otolaryngologist
E-mail: lenovop78030041989@gmail.com
Abstract
Osteoma is a benign tumor, one of the most common benign neoplasms of the paranasal sinuses. Osteoma is more often localized in the frontal sinuses, less often in the ethmoid labyrinth. Extremely rarely in the maxillary sinus, sphenoid and in the nasal cavity.
In the development of osteoma, 2 periods are distinguished – latent and overt. Large osteomas are characterized by rhinological, orbital and neurological symptoms. Small osteomas of the paranasal sinuses are asymptomatic and are detected during X-ray examinations and CT scans. A frequent complication of osteoma is mucocele, pyocele. Treatment of osteomas in the presence of clinical manifestations is only surgical.
4 different clinical cases of osteomas are described, namely a combination with pyocele and orbital complications; with pronounced neurological symptoms; giant compact osteoma of the maxillary sinus and the presence of 2 osteomas in the frontal sinus.
In all cases, the operations were performed by the classical method using endoscopic techniques for visualization and control.
Keywords: osteoma, paranasal sinuses, symptoms, complications, treatment, surgery.
References
- Aleskerov DSh. [Osteomas of the frontal sinuses]. Zhurnal ushnyh, nosovyh i gorlovyh boleznej. 1973;(1):69. [Article in Russian].
- Kazakovtsev VP, Mshenkin VE, Zhelezny VA. Giant osteoma of the frontal sinuses and ethmoid sinuses with intracranial extension. Zhurnal ushnyh, nosovyh i gorlovyh boleznej. 1989;(6):59-60. [Article in Russian].
- Skopintsev VA. [Giant osteoma of both frontal sinuses and ethmoid bone on the left]. Zhurnal ushnyh, nosovyh i gorlovyh boleznej. 1990;(5):68-69. [Article in Russian].
- Parkhomovsky MA. [Statistical data on osteomas of the paranasal sinuses]. Zhurnal ushnyh, nosovyh i gorlovyh boleznej. 1979;(5):43-44. [Article in Russian].
- Viswanatha B. Maxillary sinus osteoma: two cases and review of the literature. Acta Otorhinolaryngol Ital. 2012 Jun;32(3):202-5.
- Saati S, Nikkerdar N, Golshah A. Two huge maxillofacial osteoma cases evaluated by computed tomography. Iran J Radiol. 2011 Dec;8(4):253-7. doi: 10.5812/iranjradiol.4588.
- Firat D, Sirin Y, Bilgic B, Ozyuvaci H. Large central osteoma of the maxillary antrum. Dentomaxillofac Radiol. 2005 Sep;34(5):322-5. doi: 10.1259/dmfr/15263929.
- Rocha JF, Gonçales AG, da Silva Sampieri MB, da Silva AA, Matsumoto MA, Gonçales ES. Peripheral osteoma of the maxillary sinus: a case report. Oral Maxillofac Surg. 2012 Sep;16(3):315-9. doi: 10.1007/s10006-011-0298-1.
- Sakamoto H, Tanaka T, Kato N, Arai T, Hasegawa Y, Abe T. Frontal sinus mucocele with intracranial extension associated with osteoma in the anterior cranial fossa. Neurol Med Chir (Tokyo). 2011;51(8):600-3. doi: 10.2176/nmc.51. 600.