Whether a left sided sieve sinus osteoma needs treatment or not needs to be judged in conjunction with the size of the osteoma and the presence or absence of clinical symptoms. If the osteoma is small and there are no symptoms of nasal congestion, nasal distension or orbital pain, it can be observed and not treated for the time being. If symptoms appear, surgery is recommended.
Osteoma usually occurs in the bone wall of the sinus, grows slowly, varies in size, most of them are single, and a few of them are multiple. Clinically, if the tumor continues to grow, the affected area may be elevated, thus causing compression symptoms. It may manifest as frontal neuralgia, headache, nausea and vomiting. Large sieve sinus osteoma may occupy most of the airspace and may extend into the frontal and pterygoid sinuses.
Although in adults, smaller osteomas with no conscious symptoms are not urgent to be treated, they should be monitored regularly for any tendency to develop. However, because of the thinness of the sieve sinus osteoma, it is easy to cause complications.
Patients are advised to go to the ENT department of the hospital and decide whether they want to undergo treatment after communicating with the specialist. Do not delay, so as not to cause the deterioration of the disease.