Pneumocephalus with Inverted Papilloma in the Frontoethmoidal Sinus: Case Report and Literature Review.

Autor: Makihara S; Department of Otolaryngology-Head & Neck Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences., Otani Y; Department of Neurological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences., Uraguchi K; Department of Otolaryngology-Head & Neck Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences., Ono S; Department of Pathology and Oncology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences., Shimizu A; Department of Otolaryngology-Head & Neck Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences., Ikemachi R; Department of Neurological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences., Okazaki Y; Department of Neurological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences., Ota T; Department of Plastic and Reconstructive Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences., Matsumoto H; Department of Plastic and Reconstructive Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences., Miyamoto S; Department of Otolaryngology-Head & Neck Surgery, Kagawa Rosai Hospital., Tsumura M; Department of Otolaryngology-Head & Neck Surgery, Kagawa Rosai Hospital., Hayashi S; Department of Neurosurgery, Kagawa Rosai Hospital., Umakoshi M; Department of Neurosurgery, Kagawa Rosai Hospital., Hirashita K; Department of Neurosurgery, Kagawa Rosai Hospital., Ando M; Department of Otolaryngology-Head & Neck Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences.
Jazyk: angličtina
Zdroj: Acta medica Okayama [Acta Med Okayama] 2024 Aug; Vol. 78 (4), pp. 337-343.
DOI: 10.18926/AMO/67550
Abstrakt: Here, we describe the unique case of a pneumocephalus originating from an inverted papilloma (IP) in the frontoethmoidal sinus. A 71-year-old man with diabetes presented with headaches and altered consciousness. Imaging revealed the pneumocephalus together with bone destruction in the left frontal sinus. He underwent simultaneous endoscopic endonasal and transcranial surgery using an ORBEYE exoscope. Pathological diagnosis of the tumor confirmed IP. Post-surgery, the pneumocephalus was significantly resolved and the squamous cell carcinoma antigen level, which had been elevated, decreased. This case underscores the importance of a multidisciplinary approach and innovative surgical methods in treating complex sinonasal pathologies.
Competing Interests: No potential conflict of interest relevant to this article was reported.
Databáze: MEDLINE