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Frontal sinus osteomas are mostly asymptomatic and slow-growing benign tumors most frequently involving the frontal sinus. The surgical procedures available for osteoma removal can be classified into external, endoscopic, or a combination of both. The external approach is often selected to ensure complete and safe removal of frontal sinus osteoma located close to both orbits. Here, we present the case of a symptomatic frontal sinus osteoma that was successfully removed by using an Endoscopic Modified Lothrop Procedure (EMLP).