Multiple osteomas of paranasal sinuses

Abstract

Osteoma of the paranasal sinuses is a benign, slowly growing, most often solitary, formation. Detection of multiple osteomas of the paranasal sinuses is casuistic in nature. According to the literature, their occurrence is 0.13% in computed tomography of the paranasal sinuses. Clinically osteoma is asymptomatic. Multiple osteomas of the paranasal sinuses may be a manifestation of Gardner’s syndrome, which was first described in 1953 as a triad of symptoms: multiple colon polyps, multiple osteomas, and skin and subcutaneous soft tissue tumors. In addition, patients are also diagnosed with dental and skeletal anomalies, retinal pathology. Gardner’s syndrome is hereditary autosomal dominant. The article presents a clinical case of a patient with multiple osteomas of the paranasal sinuses. The practical interest of this observation is its rare occurrence and the need to discuss options for choosing a therapeutic, including surgical, tactic and further management (dynamic monitoring, additional examination) of the patient. The case of multiple osteomas seems to be a rare pathology, possibly hereditary. Despite the benign nature of osteomas of the paranasal sinuses, the patient should be informed about the need for further observation, should be included in the dynamic observation group, and additionally examined by related specialists (dermatologist, dentist, gastroenterologist, ophthalmologist).