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[Craniosinusonasal tumors]
Zhurnal Voprosy Neirokhirurgii Imeni N. N. Burdenko
|July 1, 1997
Summary
Tumors invading the nasal cavity, cranium, and sinuses present unique challenges due to air exposure and infection risks. Meningiomas were the most common type, with varied symptoms and requiring multidisciplinary care.
Area of Science:
- Neurosurgery
- Otolaryngology
- Neuroradiology
Context:
- Tumors extending into the nasal cavity, cranium, and paranasal sinuses possess unique characteristics.
- These include communication with the airway, high risk of intracranial infections, and specific complications like sinusitis, polyps, and CSF leaks.
Purpose:
- To analyze the clinical features, diagnosis, and treatment of tumors involving the nasal cavity, cranium, and paranasal sinuses.
- To evaluate the outcomes and complications of surgical interventions for these complex lesions.
Summary:
- Fifty patients with tumors in these regions were treated, with meningiomas being the most frequent (n=34).
- Tumor location and growth patterns (medial vs. lateral) influenced clinical signs, which included olfactory disturbances, hearing impairment, and palatal deformation.
- Diagnosis utilized CT, MRI, and operative findings, with treatment involving transcranial, transnasal, or facial approaches.
Impact:
- Highlights the variability of clinical signs based on tumor type and location.
- Emphasizes the necessity of an interdisciplinary approach involving neurosurgeons, neuroradiologists, otoneurologists, and neuro-ophthalmologists for optimal patient management.
- Provides insights into surgical strategies and postoperative outcomes for these rare and complex tumors.