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Anterior Skull Base Reconstruction in Multiportal Approaches: Insight into Vascularized Flap Techniques.
J Clin Med
November 2024
Division of Neurosurgery, Department of Biotechnology and Life Sciences, University of Insubria, Ospedale di Circolo e Fondazione Macchi, Viale Luigi Borri, 57, 21100 Varese, Italy.
: To evaluate the outcomes of anterior skull base (ASB) reconstruction using single versus double vascularized flap techniques following multiportal cranio-endoscopic approaches (CEA), based on a 12-year experience. : A retrospective analysis was conducted on 46 patients who underwent ASB reconstruction after a CEA at our department between 2010 and 2022. Patients were divided into two groups: Group 1 received a pericranial flap (PF) reinforced with a fascia graft, while Group 2 underwent multiple flap reconstruction with PF, fascia graft, and nasoseptal flap (NSF).
View Article and Find Full Text PDFA Posterior Cranial Fossa Lesion Mimicking Myasthenia Gravis.
Eur J Case Rep Intern Med
November 2024
Khyber Medical College, Peshawar, Pakistan.
Unlabelled: A 41-year-old male with prior diagnosis of seronegative myasthenia gravis presented with complaints of bilateral ptosis, dysphagia, nasal voice and nasal regurgitation. Despite treatment with pyridostigmine, there was lack of significant improvement in the symptoms. Further investigations, including antibody assays and nerve conduction studies did not support the diagnosis.
View Article and Find Full Text PDFPalato-Antral Involvement of a Primary Extracranial Sinonasal Meningioma.
Sultan Qaboos Univ Med J
November 2024
Department of ENT, GSL Medical College, Rajahmundry, India.
Article Synopsis
- - Primary extracranial sinonasal meningiomas are extremely rare tumors in the head and neck area, with limited cases documented, particularly involving the palato-antral region.
- - A 45-year-old male experienced nasal issues like frequent bleeding and blockage for 8 months, leading to a diagnosis of a meningioma that affected his palate; he underwent successful surgery using both intraoral and endoscopic methods.
- - Post-surgery, the patient healed well and has shown no signs of recurrence for over two years; however, accurate diagnosis requires specific immunohistochemistry tests, and complete surgical removal is essential to prevent any recurrence or complications.
Neuropathology Entities Involving the Sinonasal Tract.
Surg Pathol Clin
December 2024
Department of Pathology & Immunology, Division of Neuropathology, Washington University School of Medicine, 660 South Euclid Avenue, St. Louis, MO 63110, USA. Electronic address:
Article Synopsis
- Neuropathologic entities, though rare, can affect the sinonasal tract through different mechanisms including embryological defects and ectopic tissue remnants.
- These entities may also arise from benign tumors that extend from the brain or nearby structures, such as pituitary adenomas and meningiomas.
- Additionally, high-grade intracranial tumors like glioblastomas can invade the sinonasal area, making it essential for surgical pathologists to include these in the differential diagnoses of unusual sinonasal lesions.
Computed tomography and magnetic resonance imaging findings of intracranial and extracranial meningioma with perineural spread through the foramen rotundum: A case report.
J Clin Imaging Sci
September 2024
Department of Radiology, Gifu University, Gifu, Japan.
Article Synopsis
- A 73-year-old woman presented with swelling in her left cheek, leading to a diagnosis of meningioma with spread along the maxillary nerve.
- Imaging revealed a mass with both intracranial and extracranial components, affecting several areas including the cavernous sinus and nasal cavity.
- A biopsy confirmed the condition as meningothelial meningioma, indicating the tumor's complex involvement of surrounding structures.
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