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Fibro-osseous Lesions of the Frontal Sinus

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Frontal Sinus Surgery

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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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Disclosure

Ian Witterick – Shareholder of Proteocyte Diagnostics Inc.

Author information

Authors and Affiliations

  1. Department of Otolaryngology, Sunshine Coast University Hospital, Birtinya, Qld, Australia

    Ben McArdle

  2. University of Toronto, Faculty of Medicine, Toronto, ON, Canada

    Dongho Shin

  3. Department of Otolaryngology – Head and Neck Surgery, University of Toronto, Sinai Health System, Toronto, ON, Canada

    Ian Witterick

Authors
  1. Ben McArdle
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  2. Dongho Shin
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  3. Ian Witterick
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Editors and Affiliations

  1. Prof of Otolaryngology, Mayo Clinic College of Medicine and Science, Associate Dean, Mayo Clinic School of Continuous Professional Development, Consultant, Dept of Otolaryngology-Head and Neck Surgery, Consultant (Joint), Dept of Neurological Surgery, Mayo Clinic, Phoenix, AZ, USA

    Devyani Lal

  2. Professor and Chief, Division of Rhinology and Endoscopic Skull Base Surgery, Department of Otolaryngology – Head and Neck Surgery, Stanford University School of Medicine, Stanford, CA, USA

    Peter H. Hwang

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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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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-97021-9

  • Online ISBN: 978-3-319-97022-6

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