Paranasal sinus osteoma is a rare benign tumor that evolves slowly and can be responsible for ophthalmologic, sinus and endocranial complications. Its treatment, when it is necessary, is only surgical. We report two cases of fronto-ethmoidal osteoma with orbital extension operated in our department, using a para-latero-nasal approach with supra-superciliary extension. Through these cases and in the light of the literature, we will discuss the interest of this approach in the management of ethmoidal fronto-orbital osteomas. Also, we will underline the advantages and inconveniences of other approaches.

We report a case of a 20-year-old female. The patient presented since the age of 10 years, left anterior purulent rhinorrhea, fetid and recurrent when antibiotic treatment was stopped. This rhinorrhea was associated with chronic ipsilateral nasal obstruction and cacosmia.

Background: Computerized tomography scan can show the detailed anatomy of the nose and paranasal sinuses. The sphenoid sinus is a very important corridor for the skull base because of its central position. This sinus has a great range of variation and can put structures around at risk during surgery. This study aims to examine the variation of the sphenoid sinus, and its relation to other structures around it, in this sample of Iraqi patients. Materials and Methods: CT scans of 122 patients, were obtained, and submitted for examination and measurements, during the period between September 2020 and September 2021. Observation of The sphenoid sinus pneumatization pattern, clival extension, Onodi cell, and lateral pneumatization of SS. As well as the SS measurements including the suprasellar depth, presellar depth, subsellar depth and sinus height. Exclusion was made for those with a previous history of sinus surgery and patients with tumours, sinonasal trauma or sinus fungal infection. Results: This study involved CT scans of 122 patients. The postsellar type of pneumatization was seen in 47.6%, sellar type 35.2% and presellar type 17.2%, while we did not see conchal type in this sample. Onodi cell was seen in 27.9%. The optic nerve, maxillary nerve, vidian nerve, and Carotid artery were protruding into the sinus in (35.2%), (14.8%), (46.8%) and (40.2%) respectively. We noticed that the full lateral type of lateral pneumatization is significantly associated with both vidian nerve protrusion and maxillary nerve protrusion; while right and left optic nerve protrusions were significantly associated with the corresponding side lesser wing type of lateral pneumatization, P - Value 0.001. Conclusion: Pneumatization of the sphenoid sinus has a great degree of variation in the population. Each patient has a different pneumatization pattern.

We report a case of a 35 year old male, with no history, the patient presents flat angiomas all over the left half of the face since his childhood. 10 years ago the patient noticed the sudden appearance of tuberous angiomas, that were increasing in number. The patient consulted with our department and underwent surgical treatment. The result was extraordinary and the patient was very satisfied.

Ossifying fibroma is a benign tumor that rarely affects the face bones and exclusively the maxilla. We report two cases of ossifying fibroma of the maxilla treated in our department of maxillofacial surgery and stomatology at IBN SINA university hospital in Rabat. The 1st case is a 38-year-old female, with no particular history, who presented a progressive swelling of the left face since 05 months. Extraoral examination demonstrated a grade I left exophthalmos, without diplopia or limitation of eye movements. Intraoral examination revealed a vestibular expression of the tumor. The 2nd case is also a 45-year-old female, who presented a progressive swelling of the left maxilla which gradually increased in size over a period of 04 months. Intra-orally, the buccal vestibule was completely obliterated with the mass. The two patients presented radiological images of similar density, made of a heterogeneous tissue of the maxillary containing calcifications but with different extension. Surgical excision was performed in both patients and the diagnosis was confirmed by histological study of the resected specimen. The evolution of the ossifying fibroma is insidious; this pathology has a clinical polymorphism and a good prognosis. The etiopathogenesis of this tumor is still unknown, it’s more likely to develop in the mandible and very rare in the maxilla. It differs from other types of fibroma by their clinical, radiological and histological aspects. However, only the pathological examination confirms the diagnosis.

Dermatofibrosarcoma protuberans (DFSP) is a slowly growing fibrous tumor of the skin with a very high risk of local recurrence, but with low metastatic potential. Its malignant sarcomatous transformation with metastasis is exceptional. We report a rare case, of a 30-year-old patient, who presents dermatofibrosarcoma protuberans in the left supraclavicular region. Through this case we will underline the clinical presentation as well as the management of this benign but aggressive tumor.

Abstract: Background: Urethrocutanous fistula after hypospadias surgery repair is the most common complication and remains a frustrating problem for the surgeon and the patient. The problem is exacerbated because the urethrocutanous fistula may recur which adds more demands surgery. Aim: To evaluate the use of buccal mucosal patch graft for treatment of recurrent post hypospadias repair urethrocutanous fistula. Patients and methods: Between January 2018 and August 2019 at Al- Shaheed Ghazi Al- Hariri Hospital in Medical City Complex in Baghdad. 10 boys with recurrent urethrocutanous fistula were included in this study. Their age ranged between 5-12 years. All were repair using a buccal mucosal graft with dartos fascia as an interposed reinforcing layer. Results: Nine out of 10 patients who involve in this study showed complete healing of their fistula, with no recurrence of the fistula during 6 months follow up period postoperatively and also no donor site complication. Conclusion: The Oral mucosal patch graft is simple and easy procedure that can be used for treatment of recurrent urethrocutanous fistula, it provided extragenital tissue for an area that had being fibrous from previous surgery. It shows to reduce the chance of recurrence of the urethrocutanous fistula with minimal or no donor site morbidity.