Paranazal sinüs multipl osteomu: Olgu sunumu

Paranazal sinüslerin en yaygın benign tümörü olan osteomlar her yaşta görülebilir. Erkeklerde daha sık- tır. Elli dört yaşında erkek hasta kliniğimize burun tı- kanıklığı ile başvurdu. Paranazal sinüs tomografisin- de iki taraflı etmoid sinüslerde ve sağda frontal si- nüste yaklaşık 5 mm çapında üç adet osteom sap- tandı. Gardner sendromu açısından yapılan incele- mede pozitif bir bulguya rastlanmadı. Hastanın terci- hi doğrultusunda cerrahi bir işlem uygulanmadı, kli- nik takibe alındı. Bildiğimiz kadarıyla, İngilizce litera- türde etmoid ve frontal sinüslerde bildirilmiş eşza- manlı osteom olgusu yoktur

Anahtar Kelimeler:

Etmoid sinüs, frontal sinüs, osteom, paranazal sinüs neoplazileri

Multiple osteomas in the frontal and ethmoid sinuses: a case report

Osteomas are the most common benign tumors of the paranasal sinuses. They may be seen at ali ages and show a male preponderance. A 54-year-old male patient presented with a complaint of nasal obstruc- tion. Computed tomography of the paranasal sinuses showed three osteomas, nearly 5 mm in size, in both ethmoid sinuses and the right frontal sinüs. Inquiry into the Gardner’s syndrome was negative. No surgical treatment was performed at the patient’s discretion. To our knowledge, the presence of multiple osteomas in the frontal and ethmoid sinuses has not been reported in the English literatüre.

Keywords:

Ethmoid sinüs, frontal sinüs, osteoma, paranasal sinüs neoplasms,

PDF

___

Al-Sebeih K, Desrosiers M. Bifrontal endoscopic resec- tion of frontal sinus osteoma. Laryngoscope 1998; 108:295-8.
Huang HM, Liu CM, Lin KN, Chen HT. Giant ethmoid osteoma with orbital extension, a nasoendoscopic approach using an intranasal drill. Laryngoscope 2001; 111:430-2.
Gungor A, Sali M, Kutlay M, Poyrazoglu E, Candan H. A case of giant frontal sinus osteoma. Kulak Burun Bogaz Ihtis Derg 2003;10:163-6.
Shady JA, Bland LI, Kazee AM, Pilcher WH. Osteoma of the frontoethmoidal sinus with secondary brain abscess and intracranial mucocele: case report. Neurosurgery 1994;34:920-3.
Vowles RH, Bleach NR. Frontoethmoid osteoma. Ann Otol Rhinol Laryngol 1999;108:522-4.
Hehar SS, Jones NS. Fronto-ethmoid osteoma: the place of surgery. J Laryngol Otol 1997;111:372-5.
Mansour AM, Salti H, Uwaydat S, Dakroub R, Bashshour Z. Ethmoid sinus osteoma presenting as epiphora and orbital cellulitis: case report and litera- ture review. Surv Ophthalmol 1999;43:413-26.
Koivunen P, Lopponen H, Fors AP, Jokinen K. The growth rate of osteomas of the paranasal sinuses. Clin Otolaryngol 1997;22:111-4.
Bilkay U, Erdem O, Ozek C, Helvaci E, Kilic K, Ertan Y, et al. Benign osteoma with Gardner syndrome: review of the literature and report of a case. J Craniofac Surg 2004;15:506-9.
Namdar I, Edelstein DR, Huo J, Lazar A, Kimmelman CP, Soletic R. Management of osteomas of the paranasal sinuses. Am J Rhinol 1998;12:393-8.
Gezici AR, Okay O, Ergun R, Daglioglu E, Ergungor F. Rare intracranial manifestations of frontal osteomas. Acta Neurochir 2004;146:393-6.
Gokceer T, Noshari HK, Naiboglu B, Atbas A. Ethmoid sinus osteoma with orbital extension. [Article in Turkish] Kulak Burun Bogaz Ihtis Derg 2003;10:117-20.