Objective: To explore the different surgical choices for treating osteomas of the sinuses. To summarize the management and characteristics of each surgical operation.
Method: A retrospective evaluation of thirty-one patients with osteomas of the sinuses from June 1993 to December 2001 was presented. Fourteen patients were operated through a lateral rhinotomy with radical operation in 13 cases. Eight patients were operated by nasal endoscopic management, osteomas were completely removed. Eight osteomas were removed with a coronal incision. One case underwent Caldwell-Luc surgery. The clinical symptoms, location of osteomas, and surgical procedures were analyzed.
Result: The complications of brain spinal fistula occurred in 2 cases, but they were treated in the same time of operations. One patient had a single blindness after the operation. Twenty-eight cases were followed-up for 1 to 9 years with an average of three point seven years. Twenty-six patients had no recurrence, two cases lived with the remains of osteomas.
Conclusion: The choice of surgical operations on osteomas of the sinuses was mainly decided by the location and size of osteomas, and the anatomic characteristics of sinuses, in the meanwhile, the organ function, the cosmetology, and the doctors experience were taken into account.