A case of a giant frontal sinüs osteoma

Yıl 2003, Cilt: 10 Sayı: 4, 163 - 166, 15.08.2003

Atila Güngör Murat Sali Hasan Candan Ethem Poyrazoğlu Murat Kutlay

Öz

Osteomas are the most frequent bone tumors of the facial bones, the most involving the frontal sinüs and thus leading to symptoms of frontal sinusitis or associated complications. A twenty-one-year-old male patient presented with a growing swelling on the right side of the forehead. Examination revealed a slight facial asymmetry, a laterally shifted right orbital bulb, and disturbed Vision. Cranial and orbital computed tomography showed a dense bony mass in the medial wall of the right orbit. The mass was excised totally following a bicoronal incision. The frontal and ethmoid sinuses were filled with fat tissue. Postoperatively, his Vision improved to normal after two months and no complica­ tions or recurrences were detected in the sixth month.

Anahtar Kelimeler

Frontal sinus/surgery, orbital diseases/etiology, osteoma/surgery/radiography/complications, paranasal sinüs neoplasms, visual acuity

Dev frontal sinüs osteomu: Olgu sunumu

Öz

Osteomlar yüz kemiklerinde en sık görülen, daha çok frontal sinüzite ya da komplikasyonlarına ait bulgularla ortaya çıkan tümörlerdir. Altı yıl önce al- nında bafllayan fliflliğin giderek büyümesi nedeniy- le kliniğimize baflvuran 21 yaflındaki erkek hastada yüzde asimetri, sağ gözde laterale itilme ve görme bozukluğu saptandı. Kranyal ve orbital bilgisayarlı tomografide sağ orbita medyal duvarda yoğun ke- miksel kitle lezyonu gözlendi. Bikoronal cilt insizyo- nu ile girilerek kitle tümüyle çıkarıldı. Frontal ve et- moid sinüsler yağ dokusu ile dolduruldu. Ameliyat- tan sonra ikinci ayda hastanın görmesi düzeldi; al- tıncı aya kadar herhangi bir komplikasyon ya da nüks görülmedi

Anahtar Kelimeler

Frontal sinüs/cerrahi, orbital hastalıklar/etyoloji, osteom/cerrahi/radyografi/komplikasyon, paranazal sinüs neoplazmları, görme keskinliği

Kaynakça

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