Giant fronto-ethmoidal osteoma - selection of an optimal surgical procedure

Osteomas of the paranasal sinuses are benign bone tumours that produce clinical signs depending on their size and location. In most reported cases large tumours are excised by an external approach or in conjunction with an endoscopic technique. Endoscopic treatment of such tumours is a huge challenge for the operator. Objective: Determine the optimal surgical approach by analysing giant osteomas of the frontal and ethmoidal sinuses in the literature. Methods: Group of 37 osteomas obtained from the literature review. A group of osteomas removed only by endoscopy was compared with a group in which an external approach (lateral rhynotomy or craniotomy) or combined external and endoscopic approach was applied. Results: The authors, based on the statistical analysis of the literature data, have found that the average size of osteomas excised endoscopically and those removed by external approaches does not differ statistically, when the osteomas are located in the ethmoidal cells (p = 0.2691) and the frontal sinuses (p = 0.5891). Conclusion: The choice of surgical method appears to be independent of the osteoma size and the decision is likely to be taken based on the experience of the surgeon, available equipment and knowledge of different surgical techniques

Determinants of environmental domain of quality of life in economically active population living in Silesian agglomeration, Poland

Objectives: The aim of this paper is to identify the factors that determine the environmental domain of quality of life in economically active adults living in the industrial agglomeration in Poland. Materials and Methods: During the crosssectional epidemiological study conducted among the economically active population aged 45–60, we used a short version of the WHOQOL-BREF questionnaire. Respondents were recruited randomly from selected factories located in the Silesian Agglomeration. The statistical analysis used descriptive and analytical methods available in the Statistica 9.0 software. Results: The results confi rmed the statistically signifi cant association between marital status, type of occupational activity, declared health status, and the environmental domain of quality of life in economically active inhabitants of the Silesian Agglomeration. The best qualities of life in the environmental domain were those of married people, white collars, and persons who declared their health status to be the best. Conclusions: The major determinants of environmental quality of life in economically active population living in the industrial agglomeration include non-occupational factors, such as marital status and current health status, while a signifi cantly better quality of life was associated with being a white-collar worker and not living in the vicinity of the road with heavy traffi c. The results may be useful for future planned activities intended to improve the health and the quality of working life

Giant fronto-ethmoidal osteoma - selection of an optimal surgical procedure

<div><p>Abstract Introduction Osteomas of the paranasal sinuses are benign bone tumours that produce clinical signs depending on their size and location. In most reported cases large tumours are excised by an external approach or in conjunction with an endoscopic technique. Endoscopic treatment of such tumours is a huge challenge for the operator. Objective Determine the optimal surgical approach by analysing giant osteomas of the frontal and ethmoidal sinuses in the literature. Methods Group of 37 osteomas obtained from the literature review. A group of osteomas removed only by endoscopy was compared with a group in which an external approach (lateral rhynotomy or craniotomy) or combined external and endoscopic approach was applied. Results The authors, based on the statistical analysis of the literature data, have found that the average size of osteomas excised endoscopically and those removed by external approaches does not differ statistically, when the osteomas are located in the ethmoidal cells (p = 0.2691) and the frontal sinuses (p = 0.5891). Conclusion The choice of surgical method appears to be independent of the osteoma size and the decision is likely to be taken based on the experience of the surgeon, available equipment and knowledge of different surgical techniques.</p></div

Sinonasal inverted papilloma with intracranial extension – case reports

Inverted papilloma belongs to the group of benign tumours of the nose and paranasal sinuses which, despite its benign nature, poses a diagnostic and therapeutic challenge. The expansion of this type of tumour to the anterior cranial fossa without malignant transformation is rarely observed. The prognosis depends on the presence of infiltration of the dura mater and the completeness of the surgical procedure. The aim of the paper is to describe two cases of patients with inverted papilloma with bilateral extension into the frontal sinuses, anterior cranial fossa and orbit, removed in one case through a transfacial approach and bilateral frontal craniotomy and in the other case through endoscopic access in cooperation with the neurosurgeon.Brodawczak odwrócony należy do grupy niezłośliwych nowotworów nosa i zatok przynosowych, który pomimo swojego łagodnego charakteru stanowi wyzwanie diagnostyczno-terapeutyczne. Ekspansja tego typu nowotworu do przedniego dołu czaszki bez przemiany złośliwej jest rzadko obserwowana. Rokowanie zależy od zajęcia przez naciek opony twardej oraz doszczętności zabiegu operacyjnego. Celem pracy jest opis dwóch chorych z brodawczakami odwróconymi z obustronnym zajęciem zatok czołowych, przedniego dołu czaszki i oczodołu, usuniętych w jednym przypadku poprzez dostęp przeztwarzowy i obustronną kraniotomię czołową, a w drugim z dostępu endoskopowego przy współpracy z neurochirurgiem