A patient presented with a frontal sinus mucopyocele and an epidural space infection secondary to an obstructing frontoethmoidal osteoma. Preoperative diagnosis was facilitated by both computerized tomography and magnetic resonance imaging. His treatment involved both open and endoscopic surgical techniques of accomplishing sinus and epidural space drainage and osteoma removal. The clinical entity of paranasal sinus osteomas is discussed, with emphasis on diagnosis, associated complications, and decisions regarding surgical management.
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