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Endoscopic sinus surgery for ethmoid sinus meningioma.
R S Jiang1, K M Chang, C Y Hsu
1Department of Otolaryngology, Taichung Veterans General Hospital, Taiwan, ROC.
Zhonghua Yi Xue Za Zhi = Chinese Medical Journal; Free China Ed
|March 4, 2000
Summary
Olfactory groove meningiomas can recur in the ethmoid sinuses, requiring surgical intervention. This case highlights the successful management of recurrent ethmoid sinus meningioma using endoscopic sinus surgery, demonstrating its efficacy in treating challenging sinonasal tumors.
Area of Science:
- Neurosurgery
- Otolaryngology
- Oncology
Background:
- Meningiomas, particularly those in the sinonasal region, present unique management challenges due to their location and potential for recurrence.
- Olfactory groove meningiomas are rare intracranial tumors that can extend into the sinonasal cavities.
Observation:
- A 50-year-old male patient initially presented with a left olfactory groove meningioma, treated with bilateral craniotomy.
- Post-treatment follow-up revealed a recurrent tumor in the right posterior ethmoid sinus.
Findings:
- The recurrent ethmoid sinus tumor was pathologically confirmed as a meningioma.
- Successful tumor removal was achieved via endoscopic sinus surgery without intraoperative or postoperative complications, aside from a single seizure episode.
Implications:
- This case underscores the potential for meningioma recurrence in the ethmoid sinuses after initial treatment.
- Endoscopic sinus surgery is a viable and effective minimally invasive approach for managing recurrent sinonasal meningiomas.
- Multidisciplinary management and vigilant follow-up are crucial for patients with sinonasal meningiomas.