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Author
Makihara, Seiichiro Department of Otolaryngology-Head & Neck Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Otani, Yoshihiro Department of Neurological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Uraguchi, Kensuke Department of Otolaryngology-Head & Neck Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Ono, Sawako Department of Pathology and Oncology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Shimizu, Aiko Department of Otolaryngology-Head & Neck Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Ikemachi, Ryosuke Department of Neurological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Okazaki, Yosuke Department of Neurological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Ota, Tomoyuki Department of Plastic and Reconstructive Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Matsumoto, Hiroshi Department of Plastic and Reconstructive Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Miyamoto, Shotaro Department of Otolaryngology-Head & Neck Surgery, Kagawa Rosai Hospital
Tsumura, Munechika Department of Otolaryngology-Head & Neck Surgery, Kagawa Rosai Hospital
Hayashi, Seiya Department of Neurosurgery, Kagawa Rosai Hospital
Umakoshi, Michiari Department of Neurosurgery, Kagawa Rosai Hospital
Hirashita, Koji Department of Neurosurgery, Kagawa Rosai Hospital
Ando, Mizuo Department of Otolaryngology-Head & Neck Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Abstract
Here, we describe the unique case of a pneumocephalus originating from an inverted papilloma (IP) in the frontoethmoidal sinus. A 71-year-old man with diabetes presented with headaches and altered consciousness. Imaging revealed the pneumocephalus together with bone destruction in the left frontal sinus. He underwent simultaneous endoscopic endonasal and transcranial surgery using an ORBEYE exoscope. Pathological diagnosis of the tumor confirmed IP. Post-surgery, the pneumocephalus was significantly resolved and the squamous cell carcinoma antigen level, which had been elevated, decreased. This case underscores the importance of a multidisciplinary approach and innovative surgical methods in treating complex sinonasal pathologies.
Keywords
pneumocephalus
inverted papilloma
frontoethmoidal sinus
endoscopic endonasal and transcranial surgery
Amo Type
Case Report
Publication Title
Acta Medica Okayama
Published Date
2024-08
Volume
volume78
Issue
issue4
Publisher
Okayama University Medical School
Start Page
337
End Page
343
ISSN
0386-300X
NCID
AA00508441
Content Type
Journal Article
language
English
Copyright Holders
Copyright Ⓒ 2024 by Okayama University Medical School
File Version
publisher
Refereed
True
PubMed ID
Web of Science KeyUT