Giant fronto-ethmoidal osteoma - selection of an optimal surgical procedure
Abstract Introduction Osteomas of the paranasal sinuses are benign bone tumours that produce clinical signs depending on their size and location. In most reported cases large tumours are excised by an external approach or in conjunction with an endoscopic technique. Endoscopic treatment of such tumours is a huge challenge for the operator. Objective Determine the optimal surgical approach by analysing giant osteomas of the frontal and ethmoidal sinuses in the literature. Methods Group of 37 osteomas obtained from the literature review. A group of osteomas removed only by endoscopy was compared with a group in which an external approach (lateral rhynotomy or craniotomy) or combined external and endoscopic approach was applied. Results The authors, based on the statistical analysis of the literature data, have found that the average size of osteomas excised endoscopically and those removed by external approaches does not differ statistically, when the osteomas are located in the ethmoidal cells (p = 0.2691) and the frontal sinuses (p = 0.5891). Conclusion The choice of surgical method appears to be independent of the osteoma size and the decision is likely to be taken based on the experience of the surgeon, available equipment and knowledge of different surgical techniques.
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Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial.
2018
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oai:scielo:S1808-869420180002002322018-04-26Giant fronto-ethmoidal osteoma - selection of an optimal surgical procedureHumeniuk-Arasiewicz,MariaStryjewska-Makuch,GrażynaJanik,Małgorzata A.Kolebacz,Bogdan Osteoma Surgery Endoscopy Ethmoid Sinus Frontal Sinus Abstract Introduction Osteomas of the paranasal sinuses are benign bone tumours that produce clinical signs depending on their size and location. In most reported cases large tumours are excised by an external approach or in conjunction with an endoscopic technique. Endoscopic treatment of such tumours is a huge challenge for the operator. Objective Determine the optimal surgical approach by analysing giant osteomas of the frontal and ethmoidal sinuses in the literature. Methods Group of 37 osteomas obtained from the literature review. A group of osteomas removed only by endoscopy was compared with a group in which an external approach (lateral rhynotomy or craniotomy) or combined external and endoscopic approach was applied. Results The authors, based on the statistical analysis of the literature data, have found that the average size of osteomas excised endoscopically and those removed by external approaches does not differ statistically, when the osteomas are located in the ethmoidal cells (p = 0.2691) and the frontal sinuses (p = 0.5891). Conclusion The choice of surgical method appears to be independent of the osteoma size and the decision is likely to be taken based on the experience of the surgeon, available equipment and knowledge of different surgical techniques.info:eu-repo/semantics/openAccessAssociação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial.Brazilian Journal of Otorhinolaryngology v.84 n.2 20182018-03-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-86942018000200232en10.1016/j.bjorl.2017.06.010 |
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Humeniuk-Arasiewicz,Maria Stryjewska-Makuch,Grażyna Janik,Małgorzata A. Kolebacz,Bogdan |
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Humeniuk-Arasiewicz,Maria Stryjewska-Makuch,Grażyna Janik,Małgorzata A. Kolebacz,Bogdan Giant fronto-ethmoidal osteoma - selection of an optimal surgical procedure |
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Humeniuk-Arasiewicz,Maria Stryjewska-Makuch,Grażyna Janik,Małgorzata A. Kolebacz,Bogdan |
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Humeniuk-Arasiewicz,Maria |
title |
Giant fronto-ethmoidal osteoma - selection of an optimal surgical procedure |
title_short |
Giant fronto-ethmoidal osteoma - selection of an optimal surgical procedure |
title_full |
Giant fronto-ethmoidal osteoma - selection of an optimal surgical procedure |
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Giant fronto-ethmoidal osteoma - selection of an optimal surgical procedure |
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Giant fronto-ethmoidal osteoma - selection of an optimal surgical procedure |
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giant fronto-ethmoidal osteoma - selection of an optimal surgical procedure |
description |
Abstract Introduction Osteomas of the paranasal sinuses are benign bone tumours that produce clinical signs depending on their size and location. In most reported cases large tumours are excised by an external approach or in conjunction with an endoscopic technique. Endoscopic treatment of such tumours is a huge challenge for the operator. Objective Determine the optimal surgical approach by analysing giant osteomas of the frontal and ethmoidal sinuses in the literature. Methods Group of 37 osteomas obtained from the literature review. A group of osteomas removed only by endoscopy was compared with a group in which an external approach (lateral rhynotomy or craniotomy) or combined external and endoscopic approach was applied. Results The authors, based on the statistical analysis of the literature data, have found that the average size of osteomas excised endoscopically and those removed by external approaches does not differ statistically, when the osteomas are located in the ethmoidal cells (p = 0.2691) and the frontal sinuses (p = 0.5891). Conclusion The choice of surgical method appears to be independent of the osteoma size and the decision is likely to be taken based on the experience of the surgeon, available equipment and knowledge of different surgical techniques. |
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Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial. |
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2018 |
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http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-86942018000200232 |
work_keys_str_mv |
AT humeniukarasiewiczmaria giantfrontoethmoidalosteomaselectionofanoptimalsurgicalprocedure AT stryjewskamakuchgrazyna giantfrontoethmoidalosteomaselectionofanoptimalsurgicalprocedure AT janikmałgorzataa giantfrontoethmoidalosteomaselectionofanoptimalsurgicalprocedure AT kolebaczbogdan giantfrontoethmoidalosteomaselectionofanoptimalsurgicalprocedure |
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