PDF(Pubmed)
Abstract：
Osteomas are slow growing fibro-osseous lesions. Very rare to occur in paranasal sinuses. Small osteomas don\'t require any intervention. Giant osteomas may require surgical intervention due to its cosmetic and functional compromises. A 28 year old male presented with swelling over forehead and left orbit for more than 4 years. The swelling is around 6 × 5 cm with gross lateral and inferior deviation of left eyeball. Extradural fronto-ethmoidectomy was done with combined external and endoscopic approach. There was pearly white bony hard, fixed tumor mass seen infiltrating anterior and posterior table of frontal bone. All the tumors removed in piecemeals. Wait and watch policy is the usual treatment policy for small and asymptomatic osteomas. Combine external and endoscopic approach is the treatment of choice for giant frontoethmoid osteoma.
摘要：
骨瘤是生长缓慢的纤维骨病变。非常罕见发生在鼻旁窦。小骨瘤不需要任何干预。巨大骨瘤可能需要手术干预，由于其美容和功能上的妥协。一名28岁的男性出现额头肿胀和左眼眶超过4年。肿胀约6×5cm，左眼球大体外侧和下方偏斜。采用外部和内窥镜联合入路进行硬膜外额筛骨切除术。有珍珠白色骨硬，固定肿瘤块可见浸润额骨前后台。所有的肿瘤都是零碎切除的。等待观察政策是小而无症状骨瘤的通常治疗政策。结合外部和内窥镜入路是巨大的额筛样骨瘤的首选治疗方法。
