Frontal osteomas: standardising therapeutic indications
| Autor: | Elisa Gil-Carcedo, J M de Campos, Luis M. Gil-Carcedo, Luis Angel Vallejo, David Herrero |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Male
medicine.medical_specialty Nasal Surgical Procedures Bone Neoplasms Stage ii Decision Support Techniques Infundibulum medicine Humans Stage (cooking) Sinusitis Osteoma Sinus (anatomy) Neoplasm Staging Incidental Findings Frontal sinus business.industry Endoscopy General Medicine medicine.disease Surgery Radiography Paranasal sinuses medicine.anatomical_structure Otorhinolaryngology Frontal Sinus Female business Paranasal Sinus Neoplasms |
| Zdroj: | The Journal of Laryngology & Otology. 125:1020-1027 |
| ISSN: | 1748-5460 0022-2151 |
| DOI: | 10.1017/s0022215111001563 |
| Popis: | Background:We believe the currently accepted indications for frontal osteoma surgery are inappropriate. We propose a new osteoma classification system, below, in order to standardise surgical decisions.Method:Osteomas were classified based on: relationship of tumour mass to sinus size; tumour proximity to the infundibulum, destruction of sinus walls, and complications. Forty-five osteoma cases were thus classified (1971–2007), 29 of which underwent surgery (64.44 per cent).Results:Three stages were thus derived: I, tumour/air fraction less than one-third, tumour distant from the infundibulum, no sinusitis, and no complications (18 patients (40 per cent)); II, tumour/air fraction one-third to one-half, no infundibular obstruction, no bone destruction, no sinusitis, and no complications (six (13.33 per cent)); and III, tumour/air fraction more than one-half, partial or total infundibular obstruction, sinusitis, bone destruction, and/or complications (21 (46.67 per cent)).Conclusion:Study findings suggest the following surgical indications: stage I, no surgery required, implement monitoring protocol; stage II, implement monitoring protocol, surgery may be required depending on tumour severity and general patient condition; and stage III, surgery always required. This system provides a method of standardising osteoma surgical decisions. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|