{"id":"d42bc11b-fdce-4b9b-9736-d8ccb648e76e","slug":"a-giant-complex-fronto-ethmoidal-ivory-osteoma-surgical-technique-in-a-resource-limited-practice","title":"A giant, complex fronto-ethmoidal ivory osteoma: Surgical technique in a resource-limited practice","authors":["Amos Olufemi Adeleye"],"abstract":"Background: Unlike small and medium size fronto-ethmoidal osteomas which are amenable to surgical excision through limited craniofacial openings, giant lesions require extensive and complex craniofacial dissection, and post lesionectomy reconstruction using an array of modern-day surgical adjuncts. This is a report of our surgical technique for the successful and esthetically fair operative resection of a giant fronto-ethmoidal osteoma in a difficult practice setting. Case Description: A 32-year-old Nigerian lady harbored a giant complex fronto-ethmoidal ivory osteoma. Deploying our understanding of modern-day advanced microsurgical anatomy and technique of skull base surgery, but under severe resource limitations, a radical total surgical resection was performed and an esthetically fair post lesionectomy reconstruction was achieved. The patient remains tumor-free in 20 months, so far, of postoperative follow-up. Conclusions: Even under severe resource limitations, inventive adaptations of modern-day skull base surgery techniques can facilitate hitherto unusual functional and esthetically successful resection of giant osteomas of the fronto-ethmoidal sinus complex.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/d42bc11b-fdce-4b9b-9736-d8ccb648e76e/featured/hero-1782420838160.png","publishDate":"2010-12-31T00:00:00.000Z","doi":"10.4103/2152-7806.74489","categories":["Original Article"],"fullTextUrl":"https://surgicalneurologyint.com/wp-content/uploads/2015/05/3187/SNI-1-97.pdf"}