ENDOSCOPIC APPROACH FOR RESECTION OF A SMALL FRONTAL RECESS OSTEOMA CAUSING HEADACHE

Başkent Üniversitesi Adana Uygulama ve Araştırma Merkezi, Kulak Burun Boğaz ve Baş Boyun Cerrahisi, Adana, Türkiye Paranasal sinus osteomas are common, slow-growing, benign tumors that are usually asymptomatic. Most of these neoplasms are detected incidentally during routine radiological investigation of unrelated complaints. Symptoms and complications tend to develop when the mass expands; however, even a small osteoma in the frontal recess can interfere with aeration of the frontal sinus and lead to headache. A 34-year-old woman presented to our clinic with headache affecting the fronto-ethmoidal region. The Waters view and computerized paranasal sinus tomography showed an osteoma in the right frontal recess and a middle concha bullosa on the left side. There were no abnormalities on neurological and ophthalmologic examination. Other causes of headache were excluded and the frontal recess osteoma was treated endoscopically for the relieving of the chronic frontal headache. Keywords : Frontal recess, sinus, nasal, paranasal, osteoma, endoscopic sinus surgery, headache, benign tumor