Sphenoid Sinus Meningioma: A Case Report with Review of Literature

Frilling MJ^1*, Baugh RF¹ and Jenkins OH²

¹Department of Otolaryngology, University of Toledo College of Medicine & Life Sciences, Toledo, OH, USA

²Toledo Clinic ENT, Toledo, OH, USA

*Corresponding Author : Frilling MJ
Department of Otolaryngology, University of Toledo College of Medicine & Life Sciences, Toledo, OH, USA
Tel: 937-726-7279
E-mail: Mjfrilling@gmail.com

Received: August 14, 2017 Accepted: August 21, 2017 Published: August 28, 2017

Citation: Frilling MJ, Baugh RF, Jenkins OH (2017) Sphenoid Sinus Meningioma: A Case Report with Review of Literature. J Otol Rhinol 6:6. doi: 10.4172/2324-8785.1000326

Extracranial meningiomas of the sphenoid sinus are extremely rare. They present a unique challenge to otolaryngologists and neurosurgeons regarding diagnosis and treatment when contiguous intracranial involvement is present. We present a case of a secondary sphenoid sinus meningioma extending from the temporal fossa and medial sphenoid ridge. Otolaryngologic endoscopic transnasal techniques are able to characterize masses of the nose and paranasal sinuses when intra and extracranial involvement is seen on imaging to further direct treatment with a lower associated morbidity than a craniotomy approach. Surgical excision of a secondary sphenoid sinus meningioma can be complicated due to frequent involvement of nearby neurovascular structures. Often, an endoscopic transnasal technique combined with a transfacial/transcranial approach is both required to achieve adequate resection of the meningioma, although complete resection is difficult.