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Pneumocephalus in frontal sinus osteoma: a case report.
J Otolaryngol. 1994 Dec; 23(6):430-6.JO

Abstract

Osteomas are the most commonly encountered neoplasms of the frontal sinus. Extension of these lesions through the posterior table can result in life-threatening complications. We present the case of a 70-year-old man with yellow nail syndrome who complained of persistent rhinorrhea and the sensation of "sloshing" when moving his head. Radiographic investigation revealed a frontal mucocele that had extended to a dramatic intracerebral pneumatocele. This occurred secondary to a frontal sinus osteoma that had been incidentally noted seven years earlier. Surgical exploration via an osteoplastic flap approach allowed us to excise both the osteoma and the associated pneumatomucocele. The resulting dural defect was resurfaced using a flap of pericranium to facilitate anterior cranialization. The features of this interesting case are discussed as an illustration of the potential complications of frontal sinus osteomas. The literature is reviewed regarding management of these lesions and their complications.

Authors+Show Affiliations

Department of Otolaryngology, Dalhousie University Faculty of Medicine, Halifax Infirmary Hospital, Nova Scotia.No affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

7897774

Citation

Rappaport, J M., and E L. Attia. "Pneumocephalus in Frontal Sinus Osteoma: a Case Report." The Journal of Otolaryngology, vol. 23, no. 6, 1994, pp. 430-6.
Rappaport JM, Attia EL. Pneumocephalus in frontal sinus osteoma: a case report. J Otolaryngol. 1994;23(6):430-6.
Rappaport, J. M., & Attia, E. L. (1994). Pneumocephalus in frontal sinus osteoma: a case report. The Journal of Otolaryngology, 23(6), 430-6.
Rappaport JM, Attia EL. Pneumocephalus in Frontal Sinus Osteoma: a Case Report. J Otolaryngol. 1994;23(6):430-6. PubMed PMID: 7897774.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Pneumocephalus in frontal sinus osteoma: a case report. AU - Rappaport,J M, AU - Attia,E L, PY - 1994/12/1/pubmed PY - 1994/12/1/medline PY - 1994/12/1/entrez SP - 430 EP - 6 JF - The Journal of otolaryngology JO - J Otolaryngol VL - 23 IS - 6 N2 - Osteomas are the most commonly encountered neoplasms of the frontal sinus. Extension of these lesions through the posterior table can result in life-threatening complications. We present the case of a 70-year-old man with yellow nail syndrome who complained of persistent rhinorrhea and the sensation of "sloshing" when moving his head. Radiographic investigation revealed a frontal mucocele that had extended to a dramatic intracerebral pneumatocele. This occurred secondary to a frontal sinus osteoma that had been incidentally noted seven years earlier. Surgical exploration via an osteoplastic flap approach allowed us to excise both the osteoma and the associated pneumatomucocele. The resulting dural defect was resurfaced using a flap of pericranium to facilitate anterior cranialization. The features of this interesting case are discussed as an illustration of the potential complications of frontal sinus osteomas. The literature is reviewed regarding management of these lesions and their complications. SN - 0381-6605 UR - https://www.unboundmedicine.com/medline/citation/7897774/Pneumocephalus_in_frontal_sinus_osteoma:_a_case_report_ DB - PRIME DP - Unbound Medicine ER -