Osteoma most commonly affect the fronto-ethmoid sinuses. surgical removal of the frontal and ethmoidal sinus osteomas is done in symptomatic patients. They are generally asymptomatic and usually discovered by chance during radiological imaging. asymptomatic patients can be managed conservatively or submitted to surgery in spite its localization or extension. Five patients of the frontal et ethmoidal sinus giant osteoma were reported. In spite of large dimension of tumor, symptoms were generally of late onset and were a consequence of tumoral growth and compression of neighbouring organs. The computed tomography was a great contribution for diagnosis and for the choice of the surgical approach. Osteomas were radically removed in all patients with no recurrence or residual tumor. Our cases highlight the fact that patients may present with an advanced lesion but with few symptoms other than disfigurement.

Foreign bodies of the nose are relatively frequent in pediatric population, while in the adults, they are usually seen in disturbed persons. Overlooked nasal foreign bodies may be singled out as a special entity. They become rhinolites over time with latent period of several decades. Our paper illustrates an overlooked foreign body in the nose--i.e. encrusted plastic bead which, after the asymptomatic period of 48 years, induced the unilateral mucopurulent and ichorous secretion from the nose. Rhinolite should be suspected if radiological diagnostics detected calcified mass in the nose together with unilateral nasal symptomatology. Surgical removal of rhinolite results in complete management of such problem. This case indicates the significance of medical history data and examination of nasal cavity in any adult patient with unilateral nasal symptomatology which is refractory to conservative treatment. Computerized tomography of paranasal sinuses is an important adjunct diagnostic tool in indefinite cases. Nevertheless, it often happens that only the extraction of rhinolite indicates the diagnosis that is not usually suspected in adult persons.