Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Osteoma of the Frontal Sinus with Secondary Subdural Empyema Formation

  • Cho, Sung-Yun (Department of Neurosurgery, Clinical Neuroscience Center, Seoul National University Bundang Hospital) ;
  • Kim, Jeong-Whun (Department of Otorhinolaryngology-Head and Neck Surgery, Clinical Neuroscience Center, Seoul National University Bundang Hospital) ;
  • Kim, Chae-Yong (Department of Neurosurgery, Clinical Neuroscience Center, Seoul National University Bundang Hospital)
  • Published : 2006.09.30
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Abstract

Osteomas of the paranasal sinuses rarely lead to intracranial manifestations. The authors report an unusual case of a frontal sinus osteoma leading to subdural emyema formation. A 19-year-old man presented with headache and fever one month after minor facial trauma. Neuroradiological studies revealed subdural empyema in left frontal lobe with moderate cerebral edema and a osteoma in the left frontal sinus with sinusitis of maxillary sinus. The patient was surgically treated in one stage operation of decompressive craniectomy, removal of subdural empyema with frontal sinus osteoma, and endoscopic sinus surgery via cranial and nasal route. The patient recovered very well after surgery and postoperative antibiotic therapy. The etiology of intracranial infection and the treatment strategy are to be discussed.

Keywords

References

  1. Ataman M, Ayas K, Gursel B : Giant osteoma of the frontal sinus. Rhinology 31 : 185-187, 1993
  2. Bartlet JR : Intracranial neurological complications of frontal and ethmoidal osteomas. Br J Surg 58 : 607-613, 1971 https://doi.org/10.1002/bjs.1800580818
  3. Blitzer A, Post KD, Conley J : Craniofacial resection of ossifying fibromas and osteomas of the sinuses. Arch Otolaryngol Head Neck Sur 115 : 1112-1115, 1989 https://doi.org/10.1001/archotol.1989.01860330102027
  4. Broniatowski M : Osteomas of the frontal sinus. Ear Nose Throat J 63 : 267-271, 1984
  5. Carmody TE : Osteomas of the nasal accessory sinuses. Ann Otol Rhinol Laryngol 44 : 626-643, 1935 https://doi.org/10.1177/000348943504400302
  6. Chen SC, Chung HW : Diffusion-weighted imaging parameters to track success of pyogenic brain abscess therapy. Am J Neuroradiol 25 : 1303- 1304, 2004
  7. Childrey JH : Osteomas of the sinuses, the frontal and sphenoid bone. Arch Otolaryngol 30 : 63-72, 1939 https://doi.org/10.1001/archotol.1939.00650060071006
  8. Cushing H : Experiences with orbito-ethmoidal osteoma having intracranial complications. Surg Gynecol Obstet 44 : 721-742, 1927
  9. Diaz F, Latchow R, Duvall AJ, Quick CA, Erickson DL : Mucoceles with intracranial and extracranial extensions. J Neurosurg 48 : 284-288, 1978 https://doi.org/10.3171/jns.1978.48.2.0284
  10. Duprez TP, Cosnard G, Hernalsteen D : Diffusion-weighted monitoring of conservatively treated pyogenic brain abscesses : a marker for antibacterial treatment efficacy. Am J Neuroradiol 26 : 1296-1298, 2005
  11. George J, Merry GS, Jellett LB, Baker JG : Frontal sinus osteoma with complicating intracranial aerocele. Aust N Z Surg 60 : 66-68, 1990 https://doi.org/10.1111/j.1445-2197.1990.tb07356.x
  12. Gossios K, Bai M, Psilas K : Giant aggressive osteoma of the frontal sinus. Clin Radiol 54 : 193-196, 1950 https://doi.org/10.1016/S0009-9260(99)91018-8
  13. Hallberg OE, Begley JW : Origin and treatment of osteomas of theparanasal sinuses. Arch Otolaryngol 51 : 750-760, 1950 https://doi.org/10.1001/archotol.1950.00700020775012
  14. Hehar SS, Jones NS : Fronto-ethmoid osteoma : the place of surgery. J Laryngol Otol 111 : 372-375, 1997
  15. Lerner DN, Choy SS, Zalzal GH : Intracranial complications of sinusitis in childhood. Ann Otol Rhinol Laryngol 104 : 283-294, 1995
  16. Park SK : A case of frontal sinus osteoma causing brain abscess. J Korean Neurosug Soc 13 : 175-178, 1984
  17. Savic DLJ, Djeric DR : Indications for the surgical treatment of osteomas of frontal and ethmoidal sinuses. Clin Otolaryngol 15 : 397-404, 1990 https://doi.org/10.1111/j.1365-2273.1990.tb00490.x
  18. Shady JA, Bland LL, Kazee AM, Pilcher WM : Osteoma of the frontoethmoidal sinus with secondary brain abscess and intracranial mucocele : case report. Neurosurgery 34 : 920-923, 1994 https://doi.org/10.1227/00006123-199405000-00024
  19. Smith ME, Calcaterra TC : Frontal sinus osteoma. Ann Otol Rhinol Laryngol 98 : 896-900, 1989 https://doi.org/10.1177/000348948909801111
  20. Summers LE, Mascott CR : Frontal sinus osteoma associated with cerebral abscess formation. Surg Neurol 55 : 235-239, 2001 21. Teed RW : Primary osteoma of the frontal sinus. Arch Otolaryngol 98 : 896-900, 1989
  21. Teed RW : Primary osteoma of the frontal sinus. Arch Otolaryngol 98 : 896-900, 1989