Buscar en
Acta Otorrinolaringológica Española
Toda la web
Inicio Acta Otorrinolaringológica Española Isolated osteoma of the sphenoid sinus
Información de la revista
Vol. 68. Núm. 3.
Páginas 186-187 (Mayo - Junio 2017)
Descargar PDF
Más opciones de artículo
Vol. 68. Núm. 3.
Páginas 186-187 (Mayo - Junio 2017)
Images in Otorhinolaryngology
DOI: 10.1016/j.otorri.2016.02.011
Acceso a texto completo
Isolated osteoma of the sphenoid sinus
Osteoma aislada del seno esfenoidal
Ramanuj Sinha, Neeraj Aggarwal, Mainak Dutta
Autor para correspondencia

Corresponding author.
Department of Otorhinolaryngology and Head-Neck Surgery, Medical College and Hospital, Kolkata, West Bengal, India
Información del artículo
Texto completo
Descargar PDF
Figuras (1)
Texto completo

A 16-year-old boy presented with clinical features suggestive of chronic rhinosinusitis. Diagnostic naso-endoscopy showed congested nasal mucosa and mucopus in the middle meati. The remaining areas of interest including the spheno-ethmoid recesses were unremarkable. A non-contrast computed tomography (CT) following three weeks of antibiotics and topical nasal steroids showed resolution of the sinonasal infection. Interestingly, a large radiodense lesion was noted involving predominantly the posterior aspect of the right sphenoid sinus, extending to the left (Fig. 1A–F). Follow-up naso-endoscopy revealed patent sphenoid ostia with disease-free spheno-ethmoid recesses. The lesion had similar density with that of bone, and was considered an isolated osteoma of the right sphenoid sinus.


Osteomas are the commonest benign neoplasms of nose and paranasal sinuses, mostly involving the fronto-ethmoid region. However, an isolated osteoma of the sphenoid is extremely rare and is mostly detected incidentally during radiologic examination indicated for other reasons. Although the osteoma in our patient was large, its relative posterior location and consequent sparing of the ostium could explain why the sinus was not involved in the inflammatory process. In fact, a sphenoid osteoma blocking the ostium might result in sinusitis with endoscopically-evident sinus mucocele or polyp in the spheno-ethmoid recess. It may also produce deep-seated headache, and can occasionally be fast-growing resulting in visual disturbances. Unlike the fronto-ethmoid osteomas, there is no given protocol for management of a sphenoid osteoma due to dearth of clinical reports. Since it mostly remains asymptomatic, there might be gross underreporting. Available clinical evidence suggests watchful observation in an incidentally-discovered, asymptomatic sphenoid osteoma. In rare instances when it becomes symptomatic, it needs to be excised by endoscopic, open or combined approaches.

Financial disclosure

None declared.

Conflict of interest

None declared.

Copyright © 2016. Elsevier España, S.L.U. and Sociedad Española de Otorrinolaringología y Cirugía de Cabeza y Cuello
Opciones de artículo
es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos

es en pt
Política de cookies Cookies policy Política de cookies
Utilizamos cookies propias y de terceros para mejorar nuestros servicios y mostrarle publicidad relacionada con sus preferencias mediante el análisis de sus hábitos de navegación. Si continua navegando, consideramos que acepta su uso. Puede cambiar la configuración u obtener más información aquí. To improve our services and products, we use "cookies" (own or third parties authorized) to show advertising related to client preferences through the analyses of navigation customer behavior. Continuing navigation will be considered as acceptance of this use. You can change the settings or obtain more information by clicking here. Utilizamos cookies próprios e de terceiros para melhorar nossos serviços e mostrar publicidade relacionada às suas preferências, analisando seus hábitos de navegação. Se continuar a navegar, consideramos que aceita o seu uso. Você pode alterar a configuração ou obter mais informações aqui.