Endoscopy in the removal of frontal osteomas

Osteomas are benign bone lesions, characterized by bony excrescences, usually arising in membranous bones. They appear to be well circumscribed, localized, sessile, or pedunculated. Their origin is clearly not neoplastic, but traumatic. A 3:1 female to male ratio has been noted; most osteomas appear as a painless, slowly enlarging, hard lump, and, quite often, patients seek a solution for cosmesis only. Osteomas have a predilection for young adults, most commonly from the second to fifth decade, so patients have a keen interest in getting a good cosmetic result. They can be completely excised by way of a direct incision of the lesion, but this inevitably leaves a scar. Aesthetic considerations are important features in the craniomaxillofacial region. Especially for patients who are not willing to accept the risk of a prominent forehead scar. Endoscopic excision is minimally invasive and contributes to an improved aesthetic appearance. The advantages of forehead endoscopy are multiple: reduces postoperative pain, shortens hospital stays, and diminishes periods of disability. Our purpose is to describe the clinical experience with the removal of forehead masses in five patients.