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Removal of frontal sinus keratoma solely via endoscopic sinus surgery

Published online by Cambridge University Press:  06 July 2010

J-C Lai ,
C-K Liu ,
M-L Chen  and
M-K Chen
J-C Lai
Affiliation:
Department of Otorhinolaryngology-Head and Neck Surgery, Changhua Christian Hospital, Taiwan
C-K Liu
Affiliation:
Department of Medical Imaging, Changhua Christian Hospital, Taiwan
M-L Chen
Affiliation:
Department of Pathology, Changhua Christian Hospital, Taiwan
M-K Chen*
Affiliation:
Department of Otorhinolaryngology-Head and Neck Surgery, Changhua Christian Hospital, Taiwan Department of Holistic Wellness, Mingdao University, Changhua, Taiwan
*
Address for correspondence: Dr Mu-Kuan Chen, Chief, Department of Otorhinolaryngology, Head and Neck Surgery, Changhua Christian Hospital, 135 Nanhsiau Street, Changhua, 500, Taiwan. E-mail: 53780@cch.org.tw
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Abstract

Objectives:

To present a patient with a frontal sinus keratoma removed solely via endoscopic sinus surgery, including presentation of characteristic computed tomography and magnetic resonance images; to discuss the differential diagnosis of this condition; and to report the current knowledge on and treatment of frontal sinus keratoma.

Case report:

A 53-year-old man presented to our department with a 10-month history of rhinorrhoea and postnasal drip. After computed tomography and magnetic resonance imaging studies, the patient underwent surgery utilising a modified Lothrop procedure. An extensive soft tissue lesion was removed from the frontal sinus. Histological examination revealed a lamellated cluster of keratinous material. The pathological diagnosis was keratoma of the frontal sinus. There was no recurrence of keratoma over a two-year follow-up period.

Conclusions:

Following review of the English language literature, we believe this case report to represent the first successful application of a modified endoscopic Lothrop procedure for resection of an extensive frontal sinus keratoma. Thus, the applications of endoscopic sinus surgery may be expanded to include frontal sinus keratoma removal.

Keywords

Frontal SinusKeratomaEndoscopyOtorhinolaryngologic Surgical Procedures
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 124 , Issue 10 , October 2010 , pp. 1116 - 1119
Copyright
Copyright © JLO (1984) Limited 2010

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