Fibro-osseous Lesions of the Frontal Sinus

  • Ben McArdle
  • Dongho Shin
  • Ian Witterick


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.


Fibro-osseous lesions Osteoma Ossifying fibroma Fibrous dysplasia Paranasal sinus Endoscopic sinus surgery Endoscopic tumor resection Chronic rhinosinusitis 



Ian Witterick – Shareholder of Proteocyte Diagnostics Inc.


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Ben McArdle
    • 1
  • Dongho Shin
    • 2
  • Ian Witterick
    • 3
  1. 1.Department of OtolaryngologySunshine Coast University HospitalBirtinyaAustralia
  2. 2.University of Toronto, Faculty of MedicineTorontoCanada
  3. 3.Department of Otolaryngology – Head and Neck SurgeryUniversity of Toronto, Sinai Health SystemTorontoCanada

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