Frontal sinus osteoma complicated with intracranial inflammatory polyp: A case report and review of the literature


Umura S., Gunhan K., SonguM S., TEMİZ N. Ç., YuceturkAV Y.

Revue de Laryngologie Otologie Rhinologie, cilt.129, sa.4-5, ss.333-336, 2009 (Scopus)

  • Yayın Türü: Makale / Derleme
  • Cilt numarası: 129 Sayı: 4-5
  • Basım Tarihi: 2009
  • Dergi Adı: Revue de Laryngologie Otologie Rhinologie
  • Derginin Tarandığı İndeksler: Scopus
  • Sayfa Sayıları: ss.333-336
  • Anahtar Kelimeler: Frontal sinus, Inflammatory polyp, Intracranial abscess, Intracranial polyp, Osteoma, Paranasal sinus
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

Background: Osteomas of the paranasal sinuses rarely cause intracranial manifestations. A neurological symptom may be the first sign of a previously unrecognized osteoma. Case description: A 28-year-old male was referred with one episode of witnessed tonic-clonic seizure and loss of consciousness. Radiologic examination revealed a calcific mass in the frontal sinus and a cystic structure was detected in the posterior component of the lesion. The patient underwent a combined nasal endoscopic approach and a bilateral frontal osteoplastic craniotomy. The ossifying tumoral tissue and the polypoid soft tissue mass were removed. The histo-pathologic diagnosis of the hard, bony tumor was consistent with an osteoma and the polypoid soft tissue was an inflammatory polyp. Conclusion: This case report illustrates a rare and life threatening complication of a frontal sinus osteoma with an intracranial extension of an inflammatory polyp.