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DOI: 10.1055/s-0033-1349337
Endonasal Endoscopic Release of a Delayed Tension Pneumocephalus After Craniofacial Resection of a Tumor of the Anterior Skull Base
Publikationsverlauf
18. September 2012
02. April 2013
Publikationsdatum:
24. Oktober 2013 (online)
![](https://www.thieme-connect.de/media/jnlsa/2013S01/lookinside/thumbnails/10.1055-s-0033-1349337-1.jpg)
Abstract
Tension pneumocephalus is a rare complication that can occur after craniofacial resection of lesions of the anterior skull base. Early diagnosis is important to avoid potential serious neurologic deficits, including death. It has been associated with the perioperative placement of a lumbar drainage and with esthesioneuroblastoma. Therapy consists of evacuation of the intracranial air as well as conservative measures. Here we report a case of a patient with an ethmoidal esthesioneuroblastoma who underwent a traditional microsurgical craniofacial resection and developed a delayed epidural tension pneumocephalus. This was treated by performing an incision in the pericranial flap covering the anterior cranial base defect using an endonasal endoscopic approach. To our knowledge, this particular treatment technique has not been reported before in this context.
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References
- 1 Clark DW, Citardi MJ, Fakhri S. Endoscopic management of skull base defects associated with persistent pneumocephalus following previous open repair: a preliminary report. Otolaryngol Head Neck Surg 2010; 142 (6) 820-826
- 2 Wanamaker JR, Mehle ME, Wood BG, Lavertu P. Tension pneumocephalus following craniofacial resection. Head Neck 1995; 17 (2) 152-156
- 3 Campanelli J, Odland R. Management of tension pneumocephalus caused by endoscopic sinus surgery. Otolaryngol Head Neck Surg 1997; 116 (2) 247-250
- 4 Price JC, Loury M, Carson B, Johns ME. The pericranial flap for reconstruction of anterior skull base defects. Laryngoscope 1988; 98 (11) 1159-1164
- 5 Yates H, Hamill M, Borel CO, Toung TJ. Incidence and perioperative management of tension pneumocephalus following craniofacial resection. J Neurosurg Anesthesiol 1994; 6 (1) 15-20
- 6 Arbit E, Shah J, Bedford R, Carlon G. Tension pneumocephalus: treatment with controlled decompression via a closed water-seal drainage system. Case report. J Neurosurg 1991; 74 (1) 139-142
- 7 Cantu G, Solero CL, Miceli R , et al. Anterior craniofacial resection for malignant paranasal tumors: a monoinstitutional experience of 366 cases. Head Neck 2012; 34 (1) 78-87
- 8 Nicolai P, Battaglia P, Bignami M , et al. Endoscopic surgery for malignant tumors of the sinonasal tract and adjacent skull base: a 10-year experience. Am J Rhinol 2008; 22 (3) 308-316
- 9 Nicolai P, Castelnuovo P, Bolzoni Villaret A. Endoscopic resection of sinonasal malignancies. Curr Oncol Rep 2011; 13 (2) 138-144