Pediatric Nasal Chondromesenchymal Tumors: Case Report and Review of the Literature

Introduction: Nasal chondromesenchymal tumors (NCMT) are rare benign neoplasms that usually present in children <1 year of age. They can display rapid growth and significant local bony remodeling that can mimic a malignant process. Of the ∼50 published cases to date, few have documented the need for neurosurgical intervention. We herein report a NCMT in an infant treated with a staged cranial and transnasal approach, as well as summarize the available literature on this pathology. Case Report: A newborn male with a compromised airway was noted to have a large sinonasal lesion. After stabilization, MRI demonstrated a 4-cm enhancing mass with diffuse sinus involvement and significant extension into the anterior cranial fossa, with displacement of the optic apparatus and hypothalamic pituitary axis. After an initial biopsy, the patient underwent a bifrontal craniofacial approach at 2 months of age, followed by a second-stage transnasal endoscopic approach at 15 months which resulted in a complete resection. There were no neurosurgical complications. Pathology was consistent with a NCMT. Discussion: Although rare, neurosurgical involvement is critical for the treatment of NCMTs with intracranial extension. Staged cranial and endonasal endoscopic approaches may be needed for complete resection of such lesions.

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Naso-ethmoid schwannoma with intracranial extension: case report

Arquivos de Neuro-Psiquiatria ◽

10.1590/s0004-282x2001000300021 ◽

2001 ◽

Vol 59 (2B) ◽

pp. 421-423 ◽

Cited By ~ 8

Author(s):

Mario G. Siqueira ◽

Erik Jennings ◽

Osmar J.S. Moraes ◽

Marco Tulio S. Santos ◽

Nelci Zanon ◽

...

Keyword(s):

Case Report ◽

Magnetic Resonance ◽

Clinical Characteristics ◽

Medical Literature ◽

Operative Approach ◽

Anterior Cranial Fossa ◽

Intracranial Extension ◽

Rare Lesion ◽

Cranial Fossa

Intranasal schwannomas are rare lesions, specially when they present with an intracranial extension. The fifth case in the medical literature of a naso-ethmoid schwannoma with extension into the anterior cranial fossa is presented. The magnetic resonance findings and the details of the combined intracranial / transfacial operative approach used are described. The possible origin and the clinical characteristics of this rare lesion are reviewed.

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Huge carbuncle of the neck with intracranial extension: a case report

International Surgery Journal ◽

10.18203/2349-2902.isj20180851 ◽

2018 ◽

Vol 5 (3) ◽

pp. 1154

Author(s):

Alaa Sedik ◽

Muhammad Y. Rauf ◽

Mahmood Makhdoom ◽

Ihab Abdo ◽

Abdelhamid Harga ◽

...

Keyword(s):

Case Report ◽

Good Condition ◽

Posterior Cranial Fossa ◽

Uneventful Recovery ◽

Intracranial Extension ◽

Healthy Individuals ◽

Intracranial Abscess ◽

Inflammatory Mass ◽

Cranial Fossa ◽

Purulent Drainage

A carbuncle is a coalescence of several inflamed follicles into a single inflammatory mass with purulent drainage from multiple sinuses. They can develop in healthy individuals with no predisposing conditions or in immune-compromised ones. Author are presenting a case report of 57 years old Saudi presented with neglected huge carbuncle of the neck that was found complicated with intracranial extension in the posterior cranial fossa. He underwent successful simultaneous excision of the carbuncle and debridement of gross necrotic tissues; together with evacuation of the intracranial abscess. Both general and neurosurgical teams were involved. Patient made uneventful recovery and discharged home in good condition.

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Smell Sparing Unilateral Intracranial Dermoid Resection

Allergy & Rhinology ◽

10.2500/ar.2014.5.0074 ◽

2014 ◽

Vol 5 (1) ◽

pp. ar.2014.5.0074

Author(s):

Jessica W. Grayson ◽

Mohamad R. Chaaban ◽

Kristen O. Riley ◽

Bradford A. Woodworth

Keyword(s):

Case Report ◽

Surgical Resection ◽

Viable Alternative ◽

Endoscopic Technique ◽

Anterior Cranial Fossa ◽

Intracranial Extension ◽

Alternative Technique ◽

Falx Cerebri ◽

Glandular Secretion ◽

Cranial Fossa

Intracranial dermoid cysts are congenital ectodermal inclusion cysts that have a propensity to occur in the midline sellar, parasellar, or frontonasal regions. These cysts enlarge by means of glandular secretion and epithelial desquamation. Surgical resection has traditionally included a craniotomy, but endoscopic approaches are now used with increasing regularity. A binostril approach is normally used to access dermoid cysts due to the midline nature of the lesions. In this case report, we describe the successful surgical resection of a dermoid with 1.5-cm of intracranial extension using a unilateral endonasal endoscopic approach with no complications and with no postoperative anosmia. Although the unilateral endoscopic technique is not plausible for all epidermoid or dermoid cysts of the anterior cranial fossa, it should be considered a viable alternative technique when faced with a dermoid limited to one side of the falx cerebri.

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A Nasal Dermoid Sinus Cyst with Intracranial Extension into the Anterior Cranial Fossa in a 4-Year Old Child; A Case Report

British Journal of Oral and Maxillofacial Surgery ◽

10.1016/j.bjoms.2019.10.067 ◽

2019 ◽

Vol 57 (10) ◽

pp. e25-e26

Author(s):

Maeve Cooney ◽

Christopher Parks ◽

Ben Robertson

Keyword(s):

Case Report ◽

Anterior Cranial Fossa ◽

Intracranial Extension ◽

Dermoid Sinus ◽

Cranial Fossa

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Preoperative Diagnosis and Treatment of Middle Ear Adenoma: A Case Report and Literature Review

Ear Nose & Throat Journal ◽

10.1177/01455613211000295 ◽

2021 ◽

pp. 014556132110002

Author(s):

Aleksander Zwierz ◽

Krystyna Masna ◽

Paweł Burduk

Keyword(s):

Case Report ◽

Surgical Treatment ◽

Literature Review ◽

Middle Ear ◽

Surgical Procedures ◽

Preoperative Diagnosis ◽

Proper Treatment ◽

Second Stage ◽

Middle Ear Adenoma ◽

Histopathological Results

Most reported cases of middle ear adenoma (MEA) have focused on histopathology because MEA is usually diagnosed postoperatively, which is considered as a major setback. We focused on the surgical aspect of the disease to facilitate a preoperative diagnosis, resulting in prompt and proper treatment, without requiring a second stage of surgical treatment. In this report, we present the differential diagnoses in a 40-year-old man with MEA requiring surgical treatment. Preoperatively, the patient was suspected to have an MEA. An analysis of the surgical procedures in similar misdiagnosed tumors has enabled us to assess surgical procedures in cases wherein the preoperative diagnosis does not coincide with the postoperative histopathological results.

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“Push–Pull Technique” for the Management of a Selected Superomedial Intraorbital Lesion

The Surgery Journal ◽

10.1055/s-0038-1661417 ◽

2018 ◽

Vol 04 (03) ◽

pp. e105-e109 ◽

Cited By ~ 1

Author(s):

Paolo Castelnuovo ◽

Giacomo Fiacchini ◽

Francesca Fiorini ◽

Iacopo Dallan

Keyword(s):

Venous Malformation ◽

Complete Resection ◽

Safe Procedure ◽

Combined Approach ◽

Main Approach ◽

Transnasal Approach ◽

Superior Eyelid Approach ◽

Push Down ◽

Orbital Lesions

Orbital lesions are traditionally managed through external approaches when laterally located, and through a transnasal approach or other external approaches when medially located. However, when the lesion is superomedially located, it may determine a technical challenge.In this study, we present the case of a patient with a superomedial intraconal venous malformation of the left eye. We addressed the mass through a combined approach, using the transnasal route as the main approach, and the superior eyelid approach to push down the lesion to facilitate the excision. We have called this approach “push–pull technique.”We achieved a complete resection of the lesion and did not observe any intraoperative or postoperative complications. The last follow-up at 6 months postoperatively showed no recurrence, and the patient was satisfied and completely recovered.According to our experience, the “push–pull” technique seems to be a safe procedure and might be considered a valid alternative to address selected superomedial intraconal lesions.

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Aggressive verrucous carcinoma of the paranasal sinuses invading the orbit: case report and literature review

The Journal of Laryngology & Otology ◽

10.1017/s0022215109990648 ◽

2009 ◽

Vol 123 (11) ◽

Cited By ~ 6

Author(s):

J Yiotakis ◽

T Vamvakidis ◽

E Iakovou ◽

L Manolopoulos

Keyword(s):

Case Report ◽

Paranasal Sinuses ◽

Verrucous Carcinoma ◽

Transnasal Approach ◽

Early Management ◽

Combined Radiochemotherapy ◽

Endoscopic Transnasal Approach ◽

Well Differentiated ◽

Orbital Invasion ◽

Histological Result

AbstractIntroduction:Verrucous carcinoma is a variant of well differentiated squamous cell carcinoma characterised by an exophytic, warty growth which is slowly but locally invasive and which can cause extensive local destruction if left untreated.Case report:We report the first known case of veruccous carcinoma of the paranasal sinuses with rapid orbital invasion. A 58-year-old man presented with right-sided nasal obstruction, a huge right intranasal lesion, intractable dacryocystitis and cutaneous involvement of the nasolacrimal sac region. The tumour was partially removed using an endoscopic transnasal approach. Post-operatively, and while waiting for the histological result, the patient developed signs of rapid invasion of the orbit, with uniocular visual acuity deficit. He underwent combined radiochemotherapy, with a moderate response.Conclusion:Knowledge of the potentially aggressive nature of verrucous carcinoma may be helpful in early management of intraorbital invasion and salvaging of the eye.

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Nasal Inverting Papilloma Extending to Bilateral Temporal Bones with Intracranial Extension: A Case Report and Literature Review

10.1055/s-0041-1725525 ◽

2021 ◽

Author(s):

Christine Matthews ◽

Stephen Green ◽

Rahul Mehta

Keyword(s):

Case Report ◽

Literature Review ◽

Intracranial Extension ◽

Temporal Bones

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Olfactory Nerve Schwannoma: A Case Report and Review of the Literature

The Surgery Journal ◽

10.1055/s-0038-1669991 ◽

2018 ◽

Vol 04 (03) ◽

pp. e164-e166 ◽

Cited By ~ 4

Author(s):

Mahmoud Taha ◽

Amr AlBakry ◽

Magdy ElSheikh ◽

Tarek AbdelBary

Keyword(s):

Case Report ◽

Peripheral Nerves ◽

Traffic Accident ◽

Road Traffic ◽

Olfactory Nerve ◽

Anterior Cranial Fossa ◽

Benign Tumors ◽

Rare Entity ◽

Review Of The Literature ◽

Cranial Fossa

AbstractSchwannomas are benign tumors, which arise from the Schwann cells of the central or peripheral nerves. They form 8% of all intracranial tumors and most of the cases arise from vestibular division of the 8th cranial nerve. Rare cases are shown to arise from the olfactory or optic nerve, being devoid of myelin sheath. Up to date and according to our best of knowledge, 66 cases have been reported till now. Here we present a review of the literature and a case report of a 56-year-old male with an accidently discovered anterior cranial fossa schwannoma, following a road traffic accident. Tumor was completely excised, using a right frontal approach. Histopathology revealed Antoni-A cellular pattern. Although rare, but olfactory nerve schwannomas should be included in the differential diagnosis in anterior cranial fossa space occupying lesions, and the approach should be designed taking into consideration, this rare entity.

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