Frontal Sinus Cholesteatoma Presenting with Intracranial and Orbital Complications: Diagnosis and Treatment.

IF 0.7 Q4 OTORHINOLARYNGOLOGY Turkish Archives of Otorhinolaryngology Pub Date : 2022-12-01 DOI:10.4274/tao.2022.2022-7-7
Débora Cristina Gaspar Gonçalves, Tiago Soares Santos, Vera Claúdia Miranda Silva, Hugo Narcy Amaral Amorim Costa, Carlos Magalhães Ferreira Carvalho
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Abstract

Frontal sinus keratoma or cholesteatoma is a rare disease of paranasal sinuses and presents as a slow-growing mass that becomes symptomatic as it grows to the surrounding structures. Intracranial complications are not a common presentation and are potentially life-threatening. Frequently the final diagnosis is only made intraoperatively because several other frontal sinus tumors behave likewise. Definitive treatment requires complete removal of the keratoma, and a combined endoscopic and external frontal sinus approach is a good treatment option. In this report, we presented a 68-year-old female with frontal sinus cholesteatoma with diagnostic and therapeutic features of this pathology with the review of the literature.

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额窦胆脂瘤伴颅内及眼眶并发症:诊断及治疗。
额窦角化瘤或胆脂瘤是一种罕见的副鼻窦疾病,表现为生长缓慢的肿块,随着其生长到周围结构而出现症状。颅内并发症并不常见,而且可能危及生命。由于其他额窦肿瘤也有类似的表现,最终的诊断往往只能在术中做出。最终的治疗需要完全切除角瘤,联合内镜和额外窦入路是一个很好的治疗选择。在这篇报告中,我们报告了一位68岁的女性额窦胆脂瘤的诊断和治疗特点,并回顾了文献。
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