Giant middle turbinate osteoma diagnosis and management

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We present a patient with intractable frontal headache and intranasal polyposis, who was found to have a massive, complex osteoma arising within a concha bullosa.

A 22 year old male presented with nasal obstruction, fontal headache, diplopia and imbalance. His symptoms were severe and poorly responsive to medical management and CT imaging revealed a large osteoma (59 x 33 x 32 mm), arising within a pneumatised middle turbinate and extending into the nasopharynx. The patient underwent urgent image-guided modified endoscopic Lothrop’s procedure which facilitated complete excision of the osteoma. To date only 8 previous cases of middle turbinate osteomalacia have been described. The presented case described the first experience of endoscopic excision with a Lothrop’s approach.

Additional Info

  • Authors: M El-Amin, L Warner & RK Bhalla
  • Keywords: otosclerosis, ostegenesis imperfecta, osteopetrosis, ossifying fibroma, genetic craniotubular hyperostosesOsteoma, paranasal sinuses, endoscopic sinus surgery, modified endoscopic Lothrop procedure, concha bullosa
Read 70 times Last modified on Monday, 24 December 2018 12:12

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