Sinonasal Osteoma and Its Presentation: A Case Series and Comprehensive Review of the Literature

Abstract Paranasal sinus osteomas are benign, slow-growing bony growths originating from the paranasal sinuses. The exact etiology of the disease remains unknown, but it is believed to involve genetic, embryological, traumatic, and infectious causes. The diagnosis is mainly made by a CT scan of the paranasal sinuses. Treatment is either conservative or surgical, based on clinical presentation. We report five cases of paranasal sinus osteomas that presented with symptoms including nasal obstruction, nasal discharge, facial pressure, headache, and vision abnormalities. Computerized tomography (CT) scans were used for the diagnosis in all cases and aided in the management plan. All five cases were treated surgically and reported good long-term outcomes. This case series highlights five cases of unusual osteomas. CT scans remain the gold standard for diagnosis, along with clues from patient history. Surgical management remains the fundamental treatment with low recurrence rates and improved quality of life.