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Meningiomas of the paranasal sinuses

R E Swain1, T T Kingdom, J M DelGaudio

  • 1Department of Otolaryngology-Head & Neck Surgery, Emory University School of Medicine, Atlanta, Georgia, USA.

American Journal of Rhinology
|March 22, 2001
PubMed

Insights

Extracranial meningiomas are rare tumors affecting the paranasal sinuses. This study reviews three cases, highlighting diagnostic and treatment challenges for these unusual neoplasms.

Area of Science:

  • Neurology
  • Oncology
  • Otolaryngology

Background:

  • Extracranial meningiomas are uncommon, accounting for about 2% of all meningiomas.
  • These tumors typically arise within the skull but can occur in extracranial locations, such as the paranasal sinuses.

Observation:

  • A retrospective review identified three patients with meningiomas involving the frontal, ethmoid, and sphenoid sinuses over 25 years.
  • Presenting symptoms included facial pain, nasal obstruction, and facial swelling.
  • Diagnosis was confirmed through endoscopic transnasal biopsy in two patients and CT-guided biopsy in one.

Findings:

  • Surgical removal was successful for tumors in the ethmoid and frontal sinuses.
  • The patient with a sphenoid sinus meningioma received radiation therapy.
  • Extracranial meningiomas of the paranasal sinuses pose diagnostic and therapeutic challenges.

Implications:

  • Early diagnosis and tailored treatment are crucial for managing these rare tumors.
  • This case series contributes to understanding the clinical presentation and management of sinonasal meningiomas.
  • Further research is needed to optimize treatment strategies for extracranial meningiomas in this location.

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