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Background: Osteoma
is a bony slow growing benign tumor in one of the sinuses. It is usually
asymptomatic but clinical symptoms will occur by its overgrowth, occupation of
sinus space and obstruction of ostia.
Methods : This descriptive, cross-sectional, retrospective study was done by accessing
the medical records of 17 patients with paranasal sinuses osteomas admitted in Tehran Amir
Alam Hospital during 1999-2008.
Results : The mean age of the participants was 33.9 years and 12 (70.6%) were male and 5 (29.4%) were female. No positive family histories existed for the lesions. The
mean time interval between the onset of symptom and attending the hospital was 4.4 years.
Frontal followed by ethmoid sinus osteomas were more common in
comparison to other sinuses. The most reported symptoms in frontal sinus osteomas
were upper eyelid inflation and headache and proptosis, nasal congestions and
diplopia in ethmoid sinus osteomas. Most patients had been endoscopically treated.
Conclusion: In small-to-medium-sized osteomas with no invasion
into orbit or skull base, endoscopic surgery is the treatment of choice with
minimum side-effects.
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