Frontoethmoidal Osteoma Complicated by Intracranial Mucocele and Hypertensive Pneumocephalus

Brunori, Andrea; Bruni, P; Delitala, Alberto; Greco, Romano; Chiappetta, F

doi:10.1227/00006123-199506000-00042

Cited by 21 publications

(7 citation statements)

References 1 publication

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“…19,20 Intracranial extension is the most severe complication of osteoma-induced mucocele, which can present with a myriad of neurologic signs. 9 Patients mostly have headaches, but they can also suffer from concomitant anosmia, papilledema, vomiting, diplopia, abducens palsy, dementia, incontinence, personality changes, or seizures. Our patient presented with mild symptoms of headache, but without any ophthalmologic or central nervous system deficits, which is inconsistent with literature data.…”

Section: Discussionmentioning

confidence: 99%

Large Intracranial Intradural Mucocele as a Complication of Frontal Sinus Osteoma

Jurlina¹,

Janjanin²,

Melada³

et al. 2010

Journal of Craniofacial Surgery

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Paranasal sinus osteomas are mostly asymptomatic; however, secondary mucocele can develop if they impede the natural sinus drainage. Such a mucocele can destroy the bone and extend into the adjacent structures. We report on an unusual case of frontal sinus osteoma in a 27-year-old patient, complicated by large secondary mucocele that eroded the bone and extended into the frontal lobe of the brain. Unexpectedly, the patient did not report any visual or other symptoms attributable to central nervous system deficit. The mucocele was completely resected through bifrontobasal osteoplastic craniotomy, whereas osteoma was evacuated in its entirety by both drilling and mobilizing. Open surgical approach remains the main treatment for complicated paranasal sinus osteoma, and radical removal of intracranial mucocele is mandatory to prevent the development of life-threatening infections. Although intradural extension of a secondary mucocele is extremely unusual, head and neck surgery specialists should take this severe complication in consideration.

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Section: Discussionmentioning

confidence: 99%

Large Intracranial Intradural Mucocele as a Complication of Frontal Sinus Osteoma

Jurlina¹,

Janjanin²,

Melada³

et al. 2010

Journal of Craniofacial Surgery

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“…In 1913, Luckett was able to demonstrate intracranial air accumulation in a patient with a scull fracture with the help of X-rays [14]. The common causes of pneumocephalus are heterogeneous and comprise head and facial trauma, ear infections, tumors of the scull base or surgical interventions [1,2,3,4,5,15]. In contrast, reports of spontaneous otogenic pneumocephalus are very rare.…”

Section: Discussionmentioning

confidence: 99%

“…Pneumocephalus after head and facial trauma, neurosurgical or otologic surgical procedures [1,2], otitis media [3] or tumors of the scull base [4,5] is commonly seen in otorhinolaryngiology and neurosurgery. In contrast, cases of spontaneous pneumocephalus originating from the temporal bone have been reported only rarely in the literature [6,7,8,9,10,11,12].…”

Section: Introductionmentioning

confidence: 99%

Spontaneous otogenic intracerebral pneumocephalus: case report and review of the literature

Krayenbühl

Alkadhi

Jung

et al. 2004

Eur Arch Otorhinolaryngol

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Pneumocephalus is commonly associated with head and facial trauma, ear infection or surgical interventions. We describe the rare case of a spontaneous pneumocephalus arising from lateral mastoid air cells. A 48-year-old man presented with a 10-day history of sudden, repetitive, 'hammering-like' acoustic sensations in his left ear that were followed by word-finding difficulties and loss of vision in the right visual field. Imaging revealed a large, left temporal pneumatocele associated with a small acute intracerebral hemorrhage. Left temporal and subtemporal craniotomy and decompression were performed. Further exploration confirmed a dural and osseous defect in the anterolateral surface of the mastoid that was consecutively closed watertight. Although extremely rare, a spontaneous pneumocephalus with mastoidal origin should be considered as a possible diagnosis in patients with suggestive acoustic phenomena and other non-specific neurological symptoms.

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“…Advantages of endoscopic surgery are excellent cosmetic results without any external incision, shorter duration of operative time, early discharge from hospital, closer and more direct visualisation during operation, minimal soft tissue dissection, and the absence of facial bony disruption 7,8,22,33,39,40,77,79,86,87 .…”

Section: Paranasal Sinus Osteomamentioning

confidence: 99%

“…Paranasal sinus osteoma is a slow-growing, benign, encapsulated bony tumour that may be commonly asymptomatic, being detected incidentally in 1% of plain sinus radiographs or in 3% of sinus computerised tomographic scans 17,21,22 .…”

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confidence: 99%

Paranasal sinus osteoma: review of literature

Mali

2013

Oral Surgery

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The osteomas are osseous lesions with slow and asymptomatic growth that most of the times is a finding in radiological exams requested for other reason. It's the most common benign neoplasm of the paranasal sinuses. The osteomas are located mainly in the frontal sinus (37–80%), followed by the ethmoidal sinuses (20%), maxillary sinuses and rarely in the sphenoid sinus. Although osteoid osteoma is rare in paranasal sinuses, it should be considered if there is a bone density mass and complete excision should be performed with care. Although osteomas are benign tumours, they may enlarge progressively and produce complications. Their resection is not free of risks, so there is some controversy about the management of asymptomatic patients. Endonasal surgery reduces the morbidity of the treatment but the location and size of the lesions do not allow to employ this technique in all cases.

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Frontoethmoidal Osteoma Complicated by Intracranial Mucocele and Hypertensive Pneumocephalus

Cited by 21 publications

References 1 publication

Large Intracranial Intradural Mucocele as a Complication of Frontal Sinus Osteoma

Large Intracranial Intradural Mucocele as a Complication of Frontal Sinus Osteoma

Spontaneous otogenic intracerebral pneumocephalus: case report and review of the literature

Paranasal sinus osteoma: review of literature

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