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Primary meningioma of the paranasal sinus

Cem Atilla Gökduman1, A Celal Iplikcioglu, Mustafa Kuzdere

  • 1Neurosurgery Clinic, Social Security Okmeydani Teaching Hospital, Istanbul, Turkey. drcemg@yahoo.com

Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia
|October 4, 2005
PubMed

Insights

A rare ectopic meningioma in the ethmoid and maxillary sinus of a 17-year-old was successfully removed via endoscopic surgery. This case highlights effective treatment for sinonasal tumors.

Area of Science:

  • Neurosurgery
  • Otolaryngology
  • Pathology

Background:

  • Primary sinonasal meningiomas are rare tumors arising from ectopic rests of meningothelial cells within the paranasal sinuses.
  • These tumors can present with diverse symptoms depending on their location and size, often mimicking other sinonasal pathologies.

Observation:

  • A 17-year-old male presented with a primary ectopic meningioma involving the right ethmoid and maxillary sinus.
  • The patient underwent successful endoscopic surgical resection of the tumor.

Findings:

  • Complete tumor removal was achieved through endoscopic surgery.
  • The patient experienced a favorable postoperative clinical course, indicating successful management.
  • A review of 32 previously reported cases provides insights into the clinical and pathological spectrum of sinonasal meningiomas.

Implications:

  • Endoscopic resection is a viable and effective treatment modality for primary ectopic sinonasal meningiomas.
  • Understanding the pathogenesis and treatment options is crucial for managing these uncommon neoplasms.
  • This case contributes to the literature on rare sinonasal tumors and their surgical management.

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