Surgical management of osteomas of the frontal recess and sinus
Standard
Surgical management of osteomas of the frontal recess and sinus : extending the limits of the endoscopic approach. / Ledderose, Georg J; Betz, Christian S; Stelter, Klaus; Leunig, Andreas.
In: EUR ARCH OTO-RHINO-L, Vol. 268, No. 4, 04.2011, p. 525-32.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
Harvard
APA
Vancouver
Bibtex
}
RIS
TY - JOUR
T1 - Surgical management of osteomas of the frontal recess and sinus
T2 - extending the limits of the endoscopic approach
AU - Ledderose, Georg J
AU - Betz, Christian S
AU - Stelter, Klaus
AU - Leunig, Andreas
PY - 2011/4
Y1 - 2011/4
N2 - Osteomas are among the most common benign tumors of the paranasal sinuses. Symptomatic osteomas are most often found in the frontal recess and the frontal sinus. While the extranasal approach is still a part of the treatment concept for removing osteomas at this localization, over the last years the endoscopically controlled endonasal approach has greatly gained in importance due to the improved surgical equipment. We retrospectively analyzed the surgical indication, surgical approach and outcome of the removal of osteomas of the frontal recess and the frontal sinus performed at our hospital between 1996 and 2010. The exact surgical technique, intra- and postoperative complications, the duration of the hospital stay and the follow-up and subjective contentment of the patients were evaluated. With a total of 24 patients being included, the study comprises one of the largest groups of patients with osteomas of the frontal recess and sinus. Over the study period, the frequency of the endoscopic approach clearly increased. Previously suggested guidelines for the endoscopic resection of a frontal sinus osteoma turned out to be superseded. Endoscopically controlled resection even of large, adversely located osteomas of the frontal recess and the frontal sinus is becoming increasingly possible, but is still naturally limited by the individual anatomic conditions and the need for experienced surgeons.
AB - Osteomas are among the most common benign tumors of the paranasal sinuses. Symptomatic osteomas are most often found in the frontal recess and the frontal sinus. While the extranasal approach is still a part of the treatment concept for removing osteomas at this localization, over the last years the endoscopically controlled endonasal approach has greatly gained in importance due to the improved surgical equipment. We retrospectively analyzed the surgical indication, surgical approach and outcome of the removal of osteomas of the frontal recess and the frontal sinus performed at our hospital between 1996 and 2010. The exact surgical technique, intra- and postoperative complications, the duration of the hospital stay and the follow-up and subjective contentment of the patients were evaluated. With a total of 24 patients being included, the study comprises one of the largest groups of patients with osteomas of the frontal recess and sinus. Over the study period, the frequency of the endoscopic approach clearly increased. Previously suggested guidelines for the endoscopic resection of a frontal sinus osteoma turned out to be superseded. Endoscopically controlled resection even of large, adversely located osteomas of the frontal recess and the frontal sinus is becoming increasingly possible, but is still naturally limited by the individual anatomic conditions and the need for experienced surgeons.
KW - Adult
KW - Bone Neoplasms
KW - Endoscopy
KW - Female
KW - Follow-Up Studies
KW - Frontal Bone
KW - Frontal Sinus
KW - Humans
KW - Male
KW - Osteoma
KW - Paranasal Sinus Neoplasms
KW - Retrospective Studies
KW - Treatment Outcome
KW - Comparative Study
KW - Journal Article
U2 - 10.1007/s00405-010-1384-y
DO - 10.1007/s00405-010-1384-y
M3 - SCORING: Journal article
C2 - 20848118
VL - 268
SP - 525
EP - 532
JO - EUR ARCH OTO-RHINO-L
JF - EUR ARCH OTO-RHINO-L
SN - 0937-4477
IS - 4
ER -