An unusual indication of maxillectomy—a case presentation of sphenoid wing meningioma
Abstract Background Sphenoid wing meningiomas (SWMs) are named because of their site of origin which is in the vicinity of the sphenoid wing. They are further classified into globoid type and en plaque (aka spheno-orbital meningiomas). These tumours are known for their difficult management because o...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SpringerOpen
2023-01-01
|
| Series: | The Egyptian Journal of Otolaryngology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s43163-022-00351-6 |
| _version_ | 1797203983905849344 |
|---|---|
| author | Ishwar Singh Raman Sharma Anita Jagetia Ashish Gopal Pooja Nakhat Jain |
| author_facet | Ishwar Singh Raman Sharma Anita Jagetia Ashish Gopal Pooja Nakhat Jain |
| author_sort | Ishwar Singh |
| collection | DOAJ |
| description | Abstract Background Sphenoid wing meningiomas (SWMs) are named because of their site of origin which is in the vicinity of the sphenoid wing. They are further classified into globoid type and en plaque (aka spheno-orbital meningiomas). These tumours are known for their difficult management because of their invasion to various neurovascular structures and bones. Surgical removal of these tumours is challenging. Complete surgical excision of the tumour is not always guaranteed; hence, intentional incomplete removal sometimes is mandatory to reduce postoperative morbidity. The purpose of this case report is to emphasize and describe the unexplored role of total maxillectomy in the excision of the extensive skull base tumours involving the orbit and infratemporal fossa. Case presentation In this case report, we are presenting a case of a 50-year-old male diagnosed a case of atypical sphenoid wing meningioma with orbital and paranasal sinus extension who was previously operated on by extracranial approach and presented with the recurrence. Here, we are providing insight and surgical management of this case using total maxillectomy as an approach to access the intracranial approach. Conclusion Maxillectomy with orbital exenteration can be used as a successful surgical approach to manage skull base lesions and intracranial tumours without any evident post-op complications. |
| first_indexed | 2024-04-10T22:50:25Z |
| format | Article |
| id | doaj.art-6bcf829069e840e0b1f671c3d86e3efa |
| institution | Directory Open Access Journal |
| issn | 2090-8539 |
| language | English |
| last_indexed | 2024-04-24T08:28:00Z |
| publishDate | 2023-01-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Journal of Otolaryngology |
| spelling | doaj.art-6bcf829069e840e0b1f671c3d86e3efa2024-04-16T21:11:36ZengSpringerOpenThe Egyptian Journal of Otolaryngology2090-85392023-01-013911510.1186/s43163-022-00351-6An unusual indication of maxillectomy—a case presentation of sphenoid wing meningiomaIshwar Singh0Raman Sharma1Anita Jagetia2Ashish Gopal3Pooja Nakhat Jain4Department of ENT and Head and Neck Surgery, Maulana Azad Medical College and Lok Nayak HospitalDepartment of ENT and Head and Neck Surgery, Maulana Azad Medical College and Lok Nayak HospitalDepartment of Neurosurgery, GIPMER HospitalDepartment of ENT and Head and Neck Surgery, Maulana Azad Medical College and Lok Nayak HospitalDepartment of ENT and Head and Neck Surgery, Maulana Azad Medical College and Lok Nayak HospitalAbstract Background Sphenoid wing meningiomas (SWMs) are named because of their site of origin which is in the vicinity of the sphenoid wing. They are further classified into globoid type and en plaque (aka spheno-orbital meningiomas). These tumours are known for their difficult management because of their invasion to various neurovascular structures and bones. Surgical removal of these tumours is challenging. Complete surgical excision of the tumour is not always guaranteed; hence, intentional incomplete removal sometimes is mandatory to reduce postoperative morbidity. The purpose of this case report is to emphasize and describe the unexplored role of total maxillectomy in the excision of the extensive skull base tumours involving the orbit and infratemporal fossa. Case presentation In this case report, we are presenting a case of a 50-year-old male diagnosed a case of atypical sphenoid wing meningioma with orbital and paranasal sinus extension who was previously operated on by extracranial approach and presented with the recurrence. Here, we are providing insight and surgical management of this case using total maxillectomy as an approach to access the intracranial approach. Conclusion Maxillectomy with orbital exenteration can be used as a successful surgical approach to manage skull base lesions and intracranial tumours without any evident post-op complications.https://doi.org/10.1186/s43163-022-00351-6MaxillectomySpheno-orbital meningiomaParanasal sinusOrbit |
| spellingShingle | Ishwar Singh Raman Sharma Anita Jagetia Ashish Gopal Pooja Nakhat Jain An unusual indication of maxillectomy—a case presentation of sphenoid wing meningioma The Egyptian Journal of Otolaryngology Maxillectomy Spheno-orbital meningioma Paranasal sinus Orbit |
| title | An unusual indication of maxillectomy—a case presentation of sphenoid wing meningioma |
| title_full | An unusual indication of maxillectomy—a case presentation of sphenoid wing meningioma |
| title_fullStr | An unusual indication of maxillectomy—a case presentation of sphenoid wing meningioma |
| title_full_unstemmed | An unusual indication of maxillectomy—a case presentation of sphenoid wing meningioma |
| title_short | An unusual indication of maxillectomy—a case presentation of sphenoid wing meningioma |
| title_sort | unusual indication of maxillectomy a case presentation of sphenoid wing meningioma |
| topic | Maxillectomy Spheno-orbital meningioma Paranasal sinus Orbit |
| url | https://doi.org/10.1186/s43163-022-00351-6 |
| work_keys_str_mv | AT ishwarsingh anunusualindicationofmaxillectomyacasepresentationofsphenoidwingmeningioma AT ramansharma anunusualindicationofmaxillectomyacasepresentationofsphenoidwingmeningioma AT anitajagetia anunusualindicationofmaxillectomyacasepresentationofsphenoidwingmeningioma AT ashishgopal anunusualindicationofmaxillectomyacasepresentationofsphenoidwingmeningioma AT poojanakhatjain anunusualindicationofmaxillectomyacasepresentationofsphenoidwingmeningioma AT ishwarsingh unusualindicationofmaxillectomyacasepresentationofsphenoidwingmeningioma AT ramansharma unusualindicationofmaxillectomyacasepresentationofsphenoidwingmeningioma AT anitajagetia unusualindicationofmaxillectomyacasepresentationofsphenoidwingmeningioma AT ashishgopal unusualindicationofmaxillectomyacasepresentationofsphenoidwingmeningioma AT poojanakhatjain unusualindicationofmaxillectomyacasepresentationofsphenoidwingmeningioma |