Giant Frontal Sinus Osteoma Presenting as Abducens Nerve Palsy with a Local Granulomatous Inflammation: Case Report with a Literature Review


Moldabekov A. Maidan A. Zeitkaziyeva D. Talasbayev M. Kadraliyeva E. Akhmetov K. Ryskeldiyev N. Akshulakov S.
2024National Scientific Medical Center

Journal of Clinical Medicine of Kazakhstan
2024#21Issue 474 - 77 pp.

Osteoma is one of the rare benign bone tumors and often presented asymptomatic. The current article will present a case report of giant f rontal sinus osteoma and successful surgical treatment. The size of the tumor described is remarkable and among the largest currently reported. In a discussion section, we try to provide the helpful groundwork for this disease’s etiology and describe the surgical approach performed. The purpose of this study is to present the clinical symptoms, radiological findings, and surgical indications of a giant f rontal sinus osteoma with an orbital cavity expansion and secondary VI cranial nerve palsy. Moreover, histological findings of the tumor showed granulomatous inflammation and tumor-infiltrating lymphocytes with single multinucleated giant cells, leading us to provide additional antibacterial treatment and perform an osteoplastic operation 6 months later.

giant osteoma , local inflammation , osteoplasty

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Department of Brain Neurosurgery, National Centre for Neurosurgery, Astana, Kazakhstan
Nazarbayev University School of Medicine, Nazarbayev University, Astana, Kazakhstan
Neurosurgery Department, Multidisciplinary City Hospital No1, Astana, Kazakhstan
Department of Eye disease, Astana Medical Univrsity, Astana, Kazakhstan

Department of Brain Neurosurgery
Nazarbayev University School of Medicine
Neurosurgery Department
Department of Eye disease

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