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Chronic Rhinosinusitis With Massive Polyposis Causing Proptosis Requiring Craniofacial Resection
Mazda K Turel1, Christopher J Chin, Allan D Vescan
1*Division of Neurosurgery, Toronto Western Hospital †Department of Otolaryngology, Mount Sinai Hospital, Toronto, Canada.
The Journal of Craniofacial Surgery
|May 13, 2016
Summary
Chronic rhinosinusitis with nasal polyps (CRSwNP) can cause severe complications like proptosis. An open skull base approach was effective in treating a rare case of extensive CRSwNP.
Area of Science:
- Otolaryngology
- Neurosurgery
- Pathology
Background:
- Chronic rhinosinusitis with nasal polyps (CRSwNP) is prevalent, typically managed medically or endoscopically.
- Allergic fungal sinusitis, a rarer form, can involve skull base erosion.
Observation:
- A 33-year-old male presented with CRSwNP causing fibro-osseous thickening and proptosis.
- This presentation is unprecedented in English literature.
Findings:
- The patient underwent a craniofacial resection with hyperostosed bone drilling.
- This intervention successfully resolved proptosis and nasal symptoms.
Implications:
- Highlights the necessity of open skull base approaches for extensive and recalcitrant CRSwNP.
- Emphasizes the importance of retaining open surgical techniques alongside endoscopic methods for complex cases.
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