Unilateral Endoscopic Endonasal Resection of an Anterior Skull Base Osteoma Causing Tension Pneumocephalus

Jenkins A¹, Venteicher AS^1,2 and Tyler MA^1,3*

¹ University of Minnesota School of Medicine, Center for Skull Base and Pituitary Surgery, USA

² University of Minnesota School of Medicine, Department of Neurosurgery, USA

³ University of Minnesota School of Medicine, Department of Otolaryngology – Head & Neck Surgery, USA

*Corresponding Author : Tyler MA
Phillips Wangensteen Building, 516 Delaware St SE #8A, Minneapolis, MN 55455, USA, Fax: 612-625-2101
Tel: 612-625-3200
E-mail: tyler231@umn.edu

Received Date: October 13, 2020; Accepted Date: October 24, 2020; Published Date: October 31, 2020

Citation: Jenkins A, Venteicher AS, Tyler MA (2020) Unilateral Endoscopic Endonasal Resection of an Anterior Skull Base Osteoma Causing Tension Pneumocephalus. J Otol Rhinol 9:6. doi: 10.37532/jor.2020.9(6).398

Osteomas represent the most common benign neoplasm of the paranasal sinuses. Rarely, these tumors are symptomatic, and even more rarely, they present with complications including intracranial invasion with pneumocephalus. The surgical management of paranasal sinus osteomas causing intracranial complications, like pneumocephalus, has classically been described with open craniofacial approaches. Here, we discuss the management of a case of pneumocephalus caused by a large fronto-ethmoid osteoma. In this case, surgical management consisted of an entirely endoscopic, endonasal approach using only the left nasal and sinus cavity as the surgical corridor.