scholarly journals Microsurgical Excision of Olfactory Groove Meningiomas, Comparative Studies of Different Surgical Approaches

2020 ◽  
Vol 10 (1) ◽  
pp. 9-19
Author(s):  
Shamsul Alam ◽  
Abu Naim Wakil Uddin ◽  
Mohammad Sujan Sharif ◽  
Md Mashiur Rahman Majumder ◽  
Mohammad Shahnawaz Bari
Keyword(s):  
Lateral Approach ◽  
Csf Leak ◽  
Surgical Approaches ◽  
Tumor Diameter ◽  
Total Removal ◽  
Recurrence Rates ◽  
Focal Neurological Deficit ◽  
Who Grade ◽  
Olfactory Groove ◽  
Olfactory Groove Meningioma

Introduction: To review the surgical approaches, techniques, outcomes and recurrence rates in a series of 11 olfactory groove meningioma (OGM) patients operated from January 2010 to April 2019. Methods: Eleven patients underwent craniotomy and micro-neurosurgical removal of olfactory groove meningioma. Tumor diameter varied from 5 to 8.5 cm among 11 cases, 2 cases underwent Transglabellar/ Subcranial approach, 3 cases by bifrontal approach, 1 case unifrontal approach, 2 extended endonasal and 3 cases fronto-lateral approach. Result: Total removal was possible in all cases except 2 cases. Histopathology revealed typical meningioma (WHO grade 1). There was 1 operative mortality and no permanent focal neurological deficit except anosmia. 3 patients developed CSF leak and two cases meningitis which were resolved by lumber drain and antibiotic therapy. Conclusion: Extended endonasal approach or transglabellar/ subcranial approach were sufficient for gross total removal of OGM which is associated with bony hyperostosis, paranasal extension and optic canal. Bang. J Neurosurgery 2020; 10(1): 9-19

scholarly journals Microsurgical Excision of Olfactory Groove Meningeomas, Comparative Studies of Different Surgical Approaches

2013 ◽  
Vol 24 (1) ◽  
pp. 5-7
Author(s):  
Shamsul Alam ◽  
Abu Naim Wakil Uddin ◽  
Md Shamsuzzaman Mondle ◽  
Abul Khair ◽  
Mohosin All Farazi ◽  
...  
Keyword(s):  
Surgical Approaches ◽  
Tumor Diameter ◽  
Recurrence Rates ◽  
Focal Neurological Deficit ◽  
Who Grade ◽  
Olfactory Groove ◽  
Maximum Tumor Diameter ◽  
Olfactory Groove Meningioma ◽  
Medicine Today ◽  
Frontolateral Approach

To review the surgical approaches, techniques, outcomes, and recurrence rates in a series of 6 olfactory groove meningioma (OGM) patients operated from January 2010 to April 2011.Methods: Six patients underwent craniotomy and micro-neurosurgical removal of olfactory groove meningioma maximum. Tumor diameter varied from 5 to 8.5 cm among six cases, 2 cases underwent glabellar mini craniotomy another 2 by bifrontal approach and rest of them were by frontolateral approach. Result: Total removal was possible in all cases. Histopathology revealed typical meningioma (WHO grade 1). there was no operative mortality and no permanent focal neurological deficit except anosmia. One patient developed leak and two cases meningitis which was resolved by lumber drain and antibiotic therapy. No tumor recurrence within six months of followup. For the removal of large olfactory groove meningiomas we used three different surgical approaches: frontolateral approaches, bifrontal approach and glabellar mini craniotomy. We consider the frontolateral approach is an alternative, if not superior, to standard bifrontal approaches. DOI: http://dx.doi.org/10.3329/medtoday.v24i1.13942 Medicine TODAY Vol.24(1) 2012 pp.5-7

Olfactory Groove Meningiomas from Neurosurgical and Ear, Nose, and Throat Perspectives: Approaches, Techniques, and Outcomes

2005 ◽  
Vol 57 (suppl_4) ◽  
pp. ONS-268-ONS-280 ◽  
Author(s):  
Sergey Spektor ◽  
Javier Valarezo ◽  
Dan M. Fliss ◽  
Ziv Gil ◽  
Jose Cohen ◽  
...  
Keyword(s):  
World Health Organization ◽  
World Health ◽  
Surgical Approaches ◽  
Tumor Diameter ◽  
Recurrence Rates ◽  
Focal Neurological Deficit ◽  
Olfactory Groove ◽  
Health Organization ◽  
Subfrontal Approach ◽  
Subtotal Removal

Abstract OBJECTIVE: To review the surgical approaches, techniques, outcomes, and recurrence rates in a series of 80 olfactory groove meningioma (OGM) patients operated on between 1990 and 2003. METHODS: Eighty patients underwent 81 OGM surgeries. Tumor diameter varied from 2 to 9 cm (average, 4.6 cm). In 35 surgeries (43.2%), the tumor was removed through bifrontal craniotomy; nine operations (11.1%) were performed through a unilateral subfrontal approach; 18 surgeries (22.2%) were performed through a pterional approach; seven surgeries (8.6%) were carried out using a fronto-orbital craniotomy; and 12 procedures (14.8%) were accomplished via a subcranial approach. Nine patients (11.3%) had undergone surgery previously and had recurrent tumor. RESULTS: Total removal was obtained in 72 patients (90.0%); subtotal removal was achieved in 8 patients (10.0%). Two patients, one with total and one with subtotal removal, had atypical (World Health Organization Grade II) meningiomas, whereas 78 patients had World Health Organization Grade I tumors. There was no operative mortality and no new permanent focal neurological deficit besides anosmia. Twenty-five patients (31.3%) experienced surgery-related complications. There were no recurrences in 75 patients (93.8%) 6 to 164 months (mean, 70.8 mo) after surgery. Three patients (3.8%) were lost to follow-up. In two patients (2.5%) with subtotal removal, the residual evidenced growth on computed tomography and/or magnetic resonance imaging 1 year after surgery. One of them had an atypical meningioma. The second, a multiple meningiomata patient, was operated on twice in this series. CONCLUSION: A variety of surgical approaches are used for OGM resection. An approach tailored to the tumor's size, location, and extension, combined with modern microsurgical cranial base techniques, allows full OGM removal with minimal permanent morbidity, excellent neurological outcome, and very low recurrence rates.

scholarly journals Recurrent Olfactory Groove Meningioma Filling the Nasal Cavity: A Case Report and Technical Video

2021 ◽  
Author(s):  
Luciano Mastronardi ◽  
Francesco Corrivetti ◽  
Pio Bevilacqua ◽  
Raffaelino Roperto ◽  
Albert Sufianov
Keyword(s):  
Case Report ◽  
Csf Leak ◽  
Intracranial Extension ◽  
Benign Tumors ◽  
Nasal Passage ◽  
Surgical Removal ◽  
Who Grade ◽  
Olfactory Groove ◽  
Olfactory Groove Meningioma ◽  
The Right

Abstract Background Meningiomas are usually benign tumors and account for 15% of the overall intracranial tumors. Less than 3% of them extend up to the sinonasal region. Case Report A 61-year-old woman, operated on for a huge olfactory meningioma 8 years before, came for progressive nasal obstruction. On physical examination, a mass that completely obliterated the right nasal passage was detected. A c.e. cranial MRI confirmed the presence of an enhancing mass completely occupying the right nostril, without intracranial extension. A biopsy of the mass revealed a meningioma (WHO grade I) and the patient was admitted to our department for the surgical removal of the endonasal recurrent tumor. Results The meningioma was approached and excised by endonasal endoscopic approach using a microdebrider and electrocautery. A linear residual of tumor was left attached to the previous anterior skull base’ vascularized galeal flap, in order to avoid a communication with the intracranial compartment and a possible cerebrospinal fluid (CSF) leak. The postoperative course was uneventful, and the patient immediately referred an improvement in breathing. A c.e. postoperative MRI confirmed the nearly total removal of tumor. Conclusions We present a video with the most relevant steps of transnasal endoscopic surgical removal of a quite rare case of a recurrent olfactory groove meningioma, completely obliterating the right nostril.

scholarly journals Microsurgical excision of olfactory groove meningioma’s: a brief study of outcome of different surgical approaches

2013 ◽  
Vol 39 (1) ◽  
pp. 45-46
Author(s):  
S Alam ◽  
A Rahman ◽  
A Ansari ◽  
AN Uddin Waldi ◽  
ATMM Hossain
Keyword(s):  
Surgical Approaches ◽  
Olfactory Groove ◽  
Olfactory Groove Meningioma

DOI: http://dx.doi.org/10.3329/bmrcb.v39i1.15810Bangladesh Med Res Counc Bull 2013; 39: 45-46

scholarly journals Trends in cerebrospinal fluid leak rates following the extended endoscopic endonasal approach for anterior skull base meningioma: a meta-analysis over the last 20 years

2020 ◽  
Author(s):  
Amir H. Zamanipoor Najafabadi ◽  
Danyal Z. Khan ◽  
Ivo S Muskens ◽  
Marike L. D. Broekman ◽  
Neil L. Dorward ◽  
...  
Keyword(s):  
Skull Base ◽  
Arterial Injury ◽  
Csf Leak ◽  
Endoscopic Endonasal Approach ◽  
Total Resection ◽  
Endoscopic Endonasal ◽  
Olfactory Groove ◽  
Olfactory Groove Meningioma ◽  
Tuberculum Sellae ◽  
Over Time

Abstract Objective The extended endoscopic approach provides unimpaired visualization and direct access to ventral skull base pathology, but is associated with cerebrospinal fluid (CSF) leak in up to 25% of patients. To evaluate the impact of improved surgical techniques and devices to better repair skull base defects, we assessed published surgical outcomes of the extended endoscopic endonasal approach in the last two decades for a well-defined homogenous group of tuberculum sellae and olfactory groove meningioma patients. Methods Random-effects meta-analyses were performed for studies published between 2004 (first publications) and April 2020. We evaluated CSF leak as primary outcome. Secondary outcomes were gross total resection, improvement in visual outcomes in those presenting with a deficit, intraoperative arterial injury, and 30-day mortality. For the main analyses, publications were pragmatically grouped based on publication year in three categories: 2004–2010, 2011–2015, and 2016–2020. Results We included 29 studies describing 540 patients with tuberculum sellae and 115 with olfactory groove meningioma. The percentage patients with CSF leak dropped over time from 22% (95% CI: 6–43%) in studies published between 2004 and 2010, to 16% (95% CI: 11–23%) between 2011 and 2015, and 4% (95% CI: 1–9%) between 2016 and 2020. Outcomes of gross total resection, visual improvement, intraoperative arterial injury, and 30-day mortality remained stable over time Conclusions We report a noticeable decrease in CSF leak over time, which might be attributed to the development and improvement of new closure techniques (e.g., Hadad-Bassagasteguy flap, and gasket seal), refined multilayer repair protocols, and lumbar drain usage.

Gender-affirming hormone therapy associated with multiple meningiomas and atypical histology in a transgender woman

2021 ◽  
Vol 14 (7) ◽  
pp. e242813
Author(s):  
Christopher Paul Millward ◽  
Eleri Phillips ◽  
Andrew Folusho Alalade ◽  
Catherine Elizabeth Gilkes
Keyword(s):  
Hormone Therapy ◽  
Cyproterone Acetate ◽  
Tumour Growth ◽  
High Dose ◽  
Mri Scan ◽  
Who Grade ◽  
Olfactory Groove ◽  
Olfactory Groove Meningioma ◽  
And Gender

We present a 69-year-old transgender woman who underwent gender-affirming surgery in 1998 and gender-affirming hormone therapy (cyproterone acetate (CPA) and estradiol) since this time. Following an MRI scan to investigate tremor in 2013, an incidental left anterior clinoid and right petrous meningioma were identified. Subtotal surgical resection was achieved for the anterior clinoid meningioma (WHO grade 1, meningothelial subtype). At follow-up in 2016, an olfactory groove meningioma and left greater wing of sphenoid meningioma were identified. By 2017, both tumours, along with the petrous meningioma, demonstrated significant growth. In 2018, clinical decline was evident and MRI demonstrated further tumour growth. Surgery was scheduled and the olfactory groove meningioma was completely resected (WHO grade 2, chordoid subtype). Hormones were stopped, after which regression of the petrous meningioma was observed. This case demonstrates an association between high-dose CPA and estradiol and the development, growth and regression of meningiomas in a transgender woman.

Preferences and Utilities for Health States after Treatment of Olfactory Groove Meningioma: Endoscopic vs Open

2016 ◽  
Vol 77 (S 01) ◽  
Author(s):  
Christopher Yao ◽  
Alyssa Kahane ◽  
David Goldstein ◽  
Gelareh Zadeh ◽  
John De Almeida
Keyword(s):  
Health States ◽  
Olfactory Groove ◽  
Olfactory Groove Meningioma

The Coexistence of Olfactory Groove with Optic Nerve Sheath Meningioma Presenting with Anosmia: Case Report

2020 ◽  
Vol 16 ◽  
Author(s):  
Hatice Ferhan Kömürcü ◽  
Gıyas Ayberk ◽  
Ömer Anlar
Keyword(s):  
Case Report ◽  
Optic Nerve ◽  
Visual Impairment ◽  
Optic Nerve Sheath ◽  
Olfactory Groove ◽  
Nerve Sheath ◽  
Optic Nerve Sheath Meningioma ◽  
History Of ◽  
Olfactory Groove Meningioma ◽  
Memory Disturbance

Introduction: Meningiomas are the third most common intracranial tumors in adults after glial tumors and metastases. Olfactory groove meningiomas often grow without symptoms due to their slow growth rates and location in the frontal lobe. Optic nerve sheath meningiomas are benign neoplasms of the meninges surrounding the optic nerve. The coexistence of olfactory groove and optic nerve sheath meningiomas without any history of neurofibromatosis or radiotherapy has never been reported in the literature. Case Report: A 36-year-old female patient presenting with anosmia, headache, memory disturbance, and visual impairment and operated with the diagnosis of olfactory groove meningioma was reported. In the postoperative period, optic nerve sheath meningioma was detected in the imaging performed due to the persistence of visual impairment. Conclusion: Olfactory groove and optic nerve sheath meningiomas are rare tumors and can be diagnosed late because they progress slowly. Early diagnosis and treatment may affect the prognosis and morbidity of these patients favorably.

Olfactory Groove Meningioma: Surgical Outcomes Following Excision via the Subcranial Approach

2011 ◽  
Vol 121 (S4) ◽  
pp. S142-S142
Author(s):  
JP Pepper ◽  
SL Hecht ◽  
SS Gebarski ◽  
EM Lin ◽  
SE Sullivan ◽  
...  
Keyword(s):  
Surgical Outcomes ◽  
Olfactory Groove ◽  
Olfactory Groove Meningioma
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