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Middle turbinate osteoma; an unusual cause of nasal obstruction

Published online by Cambridge University Press:  29 June 2007

H. B. Whittet*
Affiliation:
London
R. E. Quiney
Affiliation:
London
*
Mr. H. B. Whittet, Royal National Throat, Nose and Ear Hospital, Gray's Inn Road, London WC1X 8DA.

Abstract

Osteomas are common benign tumours of the paranasal sinuses, but are usually asymptomatic and found as a coincidental finding during routine radiological investigations. We present a case report of a patient with an isolated osteoma of the middle turbinate presenting with unilateral nasal obstruction which required removal via a lateral rhinotomy approach. The aetiology, pathology and presenting features of these tumours are reviewed and their subsequent management discussed. In particular, adequate pre-operative radiological assessment to determine involvement of the cribriform plate region by computerized axial tomography (CAT Scanning) is emphasized since this may indicate the need for a cranio-facial surgical approach rather than a lateral rhinotomy to achieve complete removal.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1988

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References

Atallah, N. and Jay, M. M. (1981) Osteomas of the paranasal sinuses. Journal of Laryngology and Otology, 95: 291304.CrossRefGoogle ScholarPubMed
Bartlett, J. F. (1971) Intracranial neurological complications of frontal and ethmoidal osteomas. British Journal of Surgery, 58: 607613.CrossRefGoogle ScholarPubMed
Cheesman, A. D., Lund, V. J. and Howard, D. J. (1986) Craniofacial resection for tumours of the nasal cavity and paranasal sinuses. Head and Neck Surgery, 8: 429435.CrossRefGoogle ScholarPubMed
Childrey, J. H. (1939) Osteomas of the sinuses, the frontal and sphenoid bone. Archives of Otolaryngology, 30: 6372.CrossRefGoogle Scholar
Fetisoff, A. G. (1929) Pathogenesis of osteomas of the nasal accessory sinuses. Annals of Otology, Rhinology and Laryngology, 38: 404420.CrossRefGoogle Scholar
Gardner, E. J. and Plenk, H. P. (1952) Hereditary pattern for multiple osteomas in a family group. American Journal of Human Genetics, 4: 3135.Google Scholar
Gardner, E. J. and Richards, R. C. (1953) Multiple cutaneous and subcutaneous lesions occurring simultaneously with hereditary polyposis and osteomatosis. American Journals of Human Genetics, 5: 139147.Google ScholarPubMed
Gray's, Anatomy (1980) Ed. Williams P. L. and Warwick R., Churchill Livingstone, London, 36th edn. pp. 141–145.Google Scholar
Hallberg, O. E. and Begley, J. W. (1950) Origin and treatment of osteomas of the paranasal sinuses. Archives of Otolaryngology, 51: 750760.CrossRefGoogle ScholarPubMed
Handousa, A. S. (1940) Nasal osteomata. Journal of Laryngology and Otology, 55: 197224.CrossRefGoogle Scholar
Harrison, D. F. N. (1977) Lateral rhinotomy: a neglected operation. Annals of Otolaryngology, 86: 756759.Google ScholarPubMed
Jaffe, H. L. (1964) Tumours and tumourous conditions of the bones and joints. Lea and Febiger, 7: 92.Google Scholar
Mehta, B. S. and Grewal, G. S. (1963) Osteoma of the paranasal sinuses along with a case of an orbital-ethmoid osteoma of the frontal sinus. Journal of Laryngology and Otology, 77: 601610.CrossRefGoogle Scholar
Moure, E. J. (1902) Traitment des tumors malignes primitives de l'ethmoid. Revue de Laryngologie, Otologie, Rhinologie (Bordeaux), 23: 401412.Google Scholar
Rawlins, A. G. (1938) Osteoma of the maxillary sinus. Annals of Otology, Rhinology and Laryngology, 47: 735753.CrossRefGoogle Scholar
Samy, L. L. and Mostafa, H. (1971) Osteomata of the nose and paranasal sinus, with a report of twenty one cases. Journal of Laryngology and Otology, 85: 449469.CrossRefGoogle ScholarPubMed
Stell, P. and Maran, A. (1979) Clinical Otolaryngology, Blackwell Scientific Publications, London, pp. 430–432.Google Scholar