Description

this presentation focuses on the surgical management of frontoethmoid sinus osteomas, emphasizing endoscopic and combined approaches for safe and effective tumor removal. Using operative video and case examples, the session will demonstrate patient selection, preoperative imaging assessment, surgical planning, and intraoperative techniques for tumor excision while preserving surrounding structures. Endoscopic removal strategies, management of large or complex osteomas, prevention of orbital or skull base complications, and reconstruction when necessary will be highlighted. Postoperative care, including imaging follow-up and symptom monitoring, will also be discussed.

outcome objectives

by the end of this session, participants will be able to:

1. identify indications for endoscopic versus open or combined approaches for frontoethmoid osteomas.

2. safely perform endoscopic excision while preserving orbital and skull base structures.

3. manage complex or large osteomas with stepwise intraoperative planning.

4. implement postoperative follow-up strategies to monitor for recurrence or complications.

background

frontoethmoid osteomas are benign but may cause obstruction, recurrent sinusitis, or orbital complications. Endoscopic surgical techniques provide minimally invasive access with lower morbidity compared to open procedures. Sharing operative video experience provides practical guidance on patient selection, surgical technique, and postoperative management.