Abstract
Fibro-osseous lesions are the most common lesions encountered in the frontal sinus and its drainage pathway. The most common is osteoma, followed by ossifying fibroma (OF) and fibrous dysplasia (FD). While many of these lesions may be picked up incidentally on imaging studies, presenting symptoms can include headaches (36%), pain/pressure (19%), and nasal obstruction (17%). In severe circumstances these lesions have the potential for expansion inferiorly into the orbit, resulting in proptosis, diplopia, and/or visual disturbances (4.5%). Intracranial extension has the potential for dural erosion, cerebral compression, increased intracranial pressure, and neurological symptoms including headaches, facial pain, cranial nerve palsies, convulsions, seizures, and meningitis. Management of the frontal sinus has always been challenging for the otolaryngologist, and fibro-osseous lesions provide their own management dilemmas. Throughout this chapter, we will discuss the most common lesions, the relevant investigations, management, and potential complications of treatment.
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McArdle, B., Shin, D., Witterick, I. (2019). Fibro-osseous Lesions of the Frontal Sinus. In: Lal, D., Hwang, P. (eds) Frontal Sinus Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-97022-6_16
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DOI: https://doi.org/10.1007/978-3-319-97022-6_16
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