scholarly journals Arachnoid cyst with bony erosion of the posterior frontal sinus wall as cause of a subdural empyema after pansinusitis

2020 ◽  
Vol 22 ◽  
pp. 100825
Author(s):  
Holger Schlag ◽  
Christoph Hoffmann ◽  
Jens Castein ◽  
Jonathan Neuhoff ◽  
Frank Kandziora
Keyword(s):  
Arachnoid Cyst ◽  
Frontal Sinus ◽  
Subdural Empyema ◽  
Sinus Wall ◽  
Bony Erosion

Intracranial diverticulum of the frontal sinus as a complication of frontal craniotomy

1979 ◽  
Vol 51 (6) ◽  
pp. 870-871 ◽  
Author(s):  
L. Anne Hayman ◽  
Alfonso E. Aldama-Luebbert ◽  
Robert A. Evans
Keyword(s):  
Frontal Sinus ◽  
Anterior Cranial Fossa ◽  
Content Type ◽  
Sinus Wall ◽  
Cranial Fossa ◽  
Sinus Mucosa ◽  
Fine Print

✓ A large air-filled intracranial extradural diverticulum of the frontal sinus mucosa was removed from the anterior cranial fossa of a 47-year-old man 2 years after fracture of the posterior sinus wall during craniotomy.

Posterior frontal sinus wall: A unique calvarial bone donor site

2000 ◽  
Vol 11 (4) ◽  
pp. 307-312
Author(s):  
Aharon Amir ◽  
Eyal Gur ◽  
Albert Gatot ◽  
Gideon Zucker ◽  
Jacob T. Cohen ◽  
...  
Keyword(s):  
Frontal Sinus ◽  
Donor Site ◽  
Calvarial Bone ◽  
Sinus Wall

Recurrent meningitis associated with frontal sinus tuber encephalocele in a patient with tuberous sclerosis

2011 ◽  
Vol 8 (1) ◽  
pp. 103-106 ◽  
Author(s):  
Samer K. Elbabaa ◽  
Angela D. Riggs ◽  
Ali G. Saad
Keyword(s):  
Tuberous Sclerosis ◽  
Frontal Sinus ◽  
Posterior Wall ◽  
Bony Defect ◽  
Recurrent Meningitis ◽  
Csf Rhinorrhea ◽  
Lumbar Drain ◽  
Sinus Wall ◽  
Sinus Mucosa

Tuberous sclerosis complex (TSC) is a genetic neurocutaneous disorder that commonly affects the CNS. The most commonly associated brain tumors include cortical tubers, subependymal nodules, and subependymal giant cell astrocytomas (SEGAs). The authors report an unusual case of recurrent meningitis due to a tuber-containing encephalocele via the posterior wall of the frontal sinus. An 11-year-old girl presented with a history of TSC and previous SEGA resection via interhemispheric approach. She presented twice within 4 months with classic bacterial meningitis. Cerebrospinal fluid cultures revealed Streptococcus pneumoniae. Computed tomography and MR imaging of the brain showed a right frontal sinus encephalocele via a posterior frontal sinus wall defect. Both episodes of meningitis were treated successfully with standard regimens of intravenous antibiotics. The neurosurgical service was consulted to discuss surgical options. Via a bicoronal incision, a right basal frontal craniotomy was performed. A large frontal encephalocele was encountered in the frontal sinus. The encephalocele was herniating through a bony defect of the posterior sinus wall. The encephalocele was ligated and resected followed by removing frontal sinus mucosa and complete cranialization of frontal sinus. Repair of the sinus floor was conducted with fat and pericranial grafts followed by CSF diversion via lumbar drain. Histopathology of the resected encephalocele showed a TSC tuber covered with respiratory (frontal sinus) mucosa. Tuber cells were diffusely positive for GFAP. The patient underwent follow-up for 2 years without evidence of recurrent meningitis or CSF rhinorrhea. This report demonstrates that frontal tubers of TSC can protrude into the frontal sinus as acquired encephaloceles and present with recurrent meningitis. To the authors' knowledge, recurrent meningitis is not known to coincide with TSC. Careful clinical and radiographic follow-up for frontal tubers in patients with TSC is recommended.

Supraorbital craniotomy by fracture of the anterior orbital roof

1993 ◽  
Vol 79 (4) ◽  
pp. 615-618 ◽  
Author(s):  
Johnny B. Delashaw ◽  
John A. Jane ◽  
Neal F. Kassell ◽  
Craig Luce
Keyword(s):  
Frontal Sinus ◽  
Anterior Wall ◽  
Temporalis Muscle ◽  
New Approach ◽  
Content Type ◽  
Orbital Roof ◽  
Sinus Wall ◽  
Cerebrospinal Fluid Leaks ◽  
Anterior Fossa ◽  
Supraorbital Craniotomy

✓ The authors describe a new and rapid method to safely perform a supraorbital craniotomy. This technique can be used when tumor does not invade the orbital roof. Previous descriptions of the supraorbital craniotomy involved exposure of the frontal sinus by removing its anterior wall and using the Gigli saw to separate the orbital roof. This new approach avoids removal of the anterior frontal sinus wall and separates the supraorbital bone flap from the calvaria by fracturing the anterior orbital roof forward. In addition, a method for harvesting a laterally based pericranium and muscle pedicle that contains a section of contralateral temporalis muscle is described. This vascularized pedicle can be used for repair of cerebrospinal fluid leaks or bone defects along the anterior fossa floor and orbit.

scholarly journals PROPTOSIS AND DIPLOPIA AS CONSEQUENCES IN TRAUMA OF CRANIOFACIAL JUNCTION

2017 ◽  
pp. 038
Author(s):  
Srbislav Pajić ◽  
Tanja Boljević ◽  
Svetlana Antić ◽  
Milutin Mrvaljević ◽  
Milena Cojić ◽  
...  
Keyword(s):  
Frontal Sinus ◽  
Bone Fractures ◽  
Clinical Manifestations ◽  
High Energy ◽  
Late Complications ◽  
Common Mechanism ◽  
Energy Impact ◽  
Ophthalmic Manifestations ◽  
Sinus Wall ◽  
Progressive Growth

In the trauma of craniofacial junction, frontal sinus wall fractures take up 5-15% of all facial bone fractures. The most common mechanism of their occurrence comes as a result of the action of high-energy impact force on the frontal area. Treatment of the injuries in frontal-orbital-ethmoidal regions largely depends on the responsible experts (otolaryngologist, maxillofacial surgeon or neurosurgeon)  in all cases, because of the implementation of diverse surgical technics  in order to achieve the best possible outcome for the patient. Bearing in mind the complex anatomical features of this region, it is clear that these procedures are often accompanied by series of possible complications, all of which are certainly neurosurgical. These can be expressed as early or late complications, and  could be characterized by diverse clinical manifestations. Mucocele is formed, either due to partial obstruction of the sinus mucosa or due to the obstruction of the frontal sinus. The long term existence of mucocele and its progressive growth will result in strong pressure on the adjacent bones, and lead to their destruction followed by the process-propagation into  surrounding tissues  and spaces. In the further development  if a bacterial contamination is detected, it will lead to the purulent inflammatory process and clinical picture of mucopyocele. In most clinical cases with complications proptosis and diplopia are dominant ophthalmic manifestations. In this paper we will  present our experience in the treatment of proptosis and diplopia, as well as the ways of diagnostic evaluation  in order to achieve timely diagnosis  and assure swift healing of patients.

scholarly journals A Naso-Orbito-Ethmoid (NOE) Fracture Associated with Bilateral Anterior and Posterior Frontal Sinus Wall Fractures Caused by a Horse Kick—Case Report and Short Literature Review

Medicina ◽  
2019 ◽  
Vol 55 (11) ◽  
pp. 731 ◽  
Author(s):  
Florin Onișor-Gligor ◽  
Paul Andrei Țenț ◽  
Simion Bran ◽  
Mihai Juncar
Keyword(s):  
Frontal Sinus ◽  
Maxillofacial Surgery ◽  
Neurological Status ◽  
Bone Architecture ◽  
Csf Leak ◽  
Correct Treatment ◽  
Sinus Wall ◽  
Severe Clinical Picture ◽  
Post Traumatic ◽  
The Brain

Naso-orbito-ethmoid (NOE) fractures associated with anterior and posterior frontal sinus wall fractures are among the most challenging cranio-maxillofacial injuries. These represent a major emergency, having a potentially severe clinical picture, with intracranial hemorrhage, cerebrospinal fluid (CSF) leak, meningeal lesions, pneumocephalus, contusion or laceration of the brain matter, coma, and in some cases death. In this article, we present the case of a 30-year-old patient with the diagnosis of NOE fracture associated with bilateral anterior and posterior frontal sinus wall fractures caused by a horse kick, with a fulminant post-traumatic alteration of the neurological status and major impairment of the midface bone architecture. Despite the severity and complexity of the case, early initiation of correct treatment both in terms of intensive care and cranio-maxillofacial surgery led to the successful rehabilitation of the neurological status, as well as to the reconstruction and redimensioning of midface architecture and, not least, to the restoration of the patient’s physiognomy.

Spontaneous Osteogenesis of Dehiscent Frontal Sinus Wall After Endoscopic Removal of Mucocele

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Arthur Dexian Tan ◽  
James Wei Ming Kwek ◽  
Ian Loh ◽  
Tee Sin Lee
Keyword(s):  
Frontal Sinus ◽  
Endoscopic Removal ◽  
Sinus Wall

Frontal Sinus Wall Fractures

2021 ◽  
pp. 355-365
Author(s):  
Sujata Mohanty
Keyword(s):  
Frontal Sinus ◽  
Sinus Wall

Intracranial Mucocele Mimicking Arachnoid Cyst: Case Report

Neurosurgery ◽  
1985 ◽  
Vol 16 (1) ◽  
pp. 85-86 ◽  
Author(s):  
Laszlo B. Tamas ◽  
Allen R. Wyler
Keyword(s):  
Case Report ◽  
Histological Examination ◽  
Arachnoid Cyst ◽  
Frontal Sinus ◽  
Clinical Implications ◽  
Adult Onset ◽  
Computed Tomographic ◽  
Unusual Combination ◽  
Computed Tomographic Scan

Abstract We describe a patient presenting with adult onset seizures whose computed tomographic scan was highly suggestive of arachnoid cyst. The cyst was removed by craniotomy and was found to be a mucocele on histological examination. During operation, no connection to the frontal sinus had been found. The very unusual combination of findings and their clinical implications are discussed. (Neurosurgery 16:85–86, 1985)

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