Advertisement

Intracranial spread of a giant frontal mucocele: case report

      This paper is only available as a PDF. To read, Please Download here.

      Abstract

      A giant mucocele eroded both the anterior and posterior wall of the frontal sinus and infiltrated the dura mater. Its extracranial growth caused a frontal bony prominence. The tumour and part of the dura were resected. A 12 × 6cm defect in the dura was repaired with a freeze-dried patch. A split-thickness bone graft from the right parietal region was used to repair the anterior frontal bony defect. The result one year later was satisfactory. Spiral computed tomography with thr ee-dimensional reconstructions excluded any recurrence of the tumour and showed good integration of bone grafts.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to British Journal of Oral and Maxillofacial Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

      References

        • Perugini S
        • Pasquini U
        • Menichelli F
        Mucoceles in the paranasal sinuses involving the orbit.
        Neuroradiology. 1982; 23: 133-139
        • Perie S
        • Sequert C
        • Cabanes J
        Frontal mucoceles of orbital or cerebral extension: therapeutic strategy.
        Ann Otolaryngol Chir Cervicofac. 1996; 113: 384-391
        • Delfini R
        • Missori P
        • Iannetti G
        • Ciappetta P
        • Cantore G
        Mucoceles of the paranasal sinuses with intracranial and intraorbital extension: report of 28 cases.
        Neurosurgery. 1993; 32: 901-906
        • Lund VJ
        • Henderson B
        • Song Y
        Involvement of cytokines and vascular adhesion receptors in the pathology of fronto-ethmoidal mucoceles.
        Acta Otolaryngol Stockh. 1993; 113: 540-546
        • Sharma GD
        • Doershuk CF
        • Stern RC
        Erosion of the wall of the frontal sinus caused by mucopyocele in cystic fibrosis.
        J Pediatr. 1994; 124: 745-747
        • Fougeront B
        • Lamas G
        • Beltran M
        • Youssefi K
        • Soudant J
        Frontal and ethmoidal mucoceles. Apropos of 17 cases.
        Ann Otolaryngol Chir Cervicofac. 1990; 107: 323-327
        • Lund VJ
        • Milroy CM
        Fronto-ethmoidal mucoceles: a histopathological analysis.
        J Laryngol Otol. 1991; 105: 921-923
        • Mokrim B
        • Touhami M
        • Chekkoury Idrissi A
        Ethmoid-frontal mucocele. Apropos of 15 cases from 1985 to 1990.
        Rev Laryngol Otol Rhinol Bord. 1991; 112: 429-431
        • Hashim ASM
        • Asakura T
        • Awa H
        • Yamashita K
        • Takasaki K
        • Yuhi F
        Giant mucocele of paranasal sinuses.
        Surg Neurol. 1985; 23: 69-74
        • Palacios E
        • Valvassori G
        Frontal mucocele.
        Ear Nose Throat J. 1998; 77: 810
        • Serrano E
        • Pessey JJ
        • Lacomme Y
        Sinus mucoceles: diagnostic and surgical aspects (apropos of 8 cases treated with rhino-surgical endoscopy).
        Acta Otorhinolaryngol Belg. 1992; 46: 287-292
        • Hazan A
        • Blin P
        • Peytral C
        Apropos of two cases of mucocele with major ophtalmologic complication treated by endoscopic endonasal surgery.
        Ann Otolaryngol Chir Cervicofac. 1996; 113: 92-98
        • Stiemberg CM
        • Bailey BJ
        • Calhoum KH
        • Quinn FB
        Management of invasive fronto-ethmoidal sinus mucoceles.
        Arch Otolaryngol Head Neck Surg. 1986; 112: 1060-1063
        • Girard B
        • Choudat L
        • Hamelin N
        Fronto-naso-ethmoido-sphenoido-maxillo-orbital mucocele with ophthalmologic presentation.
        J Fr Ophthalmol. 1999; 22: 536-540
        • Avery G
        • Tang RA
        • Close LG
        Ophthalmic manifestations of mucoceles.
        Ann Ophthalmol. 1983; 15: 734-737
        • Hamard H
        Mucoceles of the sphenoid sinus and their ophthalmological manifestations.
        J Fr Ophthalmol. 1985; 8: 645-652
        • Voegels RL
        • Balbani AP
        • Santos Junior RC
        • Butugan O
        Frontoethmoidal mucocele with intracranial extension: a case report.
        Ear Nose Throat J. 1998; 77: 117-120
        • Nakayama T
        Giant pyocele in the anterior intracranial fossa – case report.
        Neurol Med Chir. 1998; 38: 499-502
        • Weber R
        • Draf W
        • Keerl R
        Aspects of frontal sinus surgery. III. Indications and results of osteoplastic frontal sinus operation.
        HNO. 1995; 43: 414-420
        • Amble FR
        • Kern EB
        • Neel B-III
        • Facer GW
        • McDonald TJ
        • Czaja JM
        Nasofrontal duct reconstruction with silicone rubber sheeting for inflammatory frontal sinus disease: analysis of 164 cases.
        Laryngoscope. 1996; 106: 809-815
        • Ducic Y
        • Stone TL
        Frontal sinus obliteration using a laterally based pedicled pericranial flap.
        Laryngoscope. 1999; 109: 541-554
        • Rohrich RJ
        • Mickel TJ
        Frontal sinus obliteration: in search of the ideal autogenous material.
        Plast Reconstr Surg. 1995; 95: 580-585
        • Mendians AE
        • Marks SC
        Outcome of frontal sinus obliteration.
        Laryngoscope. 1999; 109: 1495-1498
        • Manaka H
        • Tokoro K
        • Sakata K
        • Ono A
        • Yamamoto I
        Intradural extension of mucocele complicating frontoethmoid sinus osteoma: case report.
        Surg Neurol. 1998; 50: 453-456
        • Bertran Mendizabal JM
        • Perez Martinez C
        • Martinez Vidal A
        Osteoplastic frontal sinus flap. Study of 47 cases.
        Acta Otorrinolaringol Esp. 1998; 49: 380-384
        • Rinehart GC
        • Jackson IT
        • Potparic Z
        • Tan RG
        • Chambers PA
        Management of locally aggressive sinus disease using craniofacial exposure and the galeal frontalis fascia-muscle flap.
        Plast Reconstr Surg. 1993; 92: 1219-1225
        • Furst G
        • Maurer J
        • Mann W
        Reconstruction of the anterior wall of the frontal sinus using autologous bone transplantation obtained by calvarial split graft.
        Laryngorhinootologie. 1992; 71: 128-131