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Updated: Jun 23, 2026
Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
Published on: January 17, 2018
[Aneurysmal bone cyst of the ethmoid: paralateronasal or endoscopic surgery? Case report]
S Cortese1, R Jankowski, S Kacha
1Hôpital Central, Service d'ORL et de Chirurgie Cervico-Faciale, 29 avenue du Maréchal de Lattre de Tassigny, 54000 Nancy, France.
Aim:
To report a typical case operated on under endonasal endoscopic surgery.
Case Report:
A 20 year old girl came to the clinic with a left eye exophtalmus. Nasal endoscopy revealed a tumour developped into the left nasal fossa. Imaging allowed to suspect an ethmoidal aneurysmal cyst. CT showed a large tumour involving the left ethmoid, extending into the frontal and maxillary sinuses, with a fluid level in the middle of the tumour. MRI eliminated intracranial extension, showed a cystic component in the middle of the tumour and the presence of hemosiderin signals on T2. Complete resection of the tumour was performed under endoscopic endonasal surgery thanks to a cleavage plane between tumour periorbit and dura. Follow-up was simple with no recurrence at 2 years.
Conclusion:
Despite its rarity, this tumour needs to be known by ENT surgeons, and our surgical experience demonstrates that it can be resected endoscopically.
