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Endoscopic resection of intracranial dermoid cysts

Published online by Cambridge University Press:  27 January 2011

D Schuster ,
K O Riley ,
J K Cure  and
B A Woodworth
D Schuster
Affiliation:
Division of Otolaryngology, Department of Surgery, University of Alabama at Birmingham, Alabama, USA
K O Riley
Affiliation:
Division of Neurosurgery, Department of Surgery, University of Alabama at Birmingham, Alabama, USA
J K Cure
Affiliation:
Department of Radiology, University of Alabama at Birmingham, Alabama, USA
B A Woodworth*
Affiliation:
Division of Otolaryngology, Department of Surgery, University of Alabama at Birmingham, Alabama, USA
*
Address for correspondence: Dr Bradford A Woodworth, University of Alabama – Birmingham, Otolaryngology – Head and Neck Surgery, BDB 563, 1530 3rd Ave S, Birmingham, AL 35294, USA Fax: +1 205 934 3993 E-mail: [email protected]
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Abstract

Introduction:

Nasal dermoid cysts are congenital lesions which are often diagnosed in infancy or childhood. However, a small number present in adulthood, and some extend intracranially. Traditional treatment for the intracranial portion of these cysts includes frontal craniotomy.

Case reports:

Two intracranial dermoid cysts were resected via a transnasal endoscopic approach, using 70° nasal endoscopy for complete visualisation and intracranial tumour removal. We describe our technique for the procedure itself and for reconstruction of the skull base defect.

Discussion and conclusion:

The endoscopic transnasal skull base approach is an excellent alternative to a traditional frontal craniotomy, to achieve complete resection of intracranial dermoid cysts.

Keywords

Dermoid CystSurgerySkull BaseEndoscopy
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 125 , Issue 4 , April 2011 , pp. 423 - 427
Copyright
Copyright © JLO (1984) Limited 2011

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References

1Sessions, RB. Nasal dermal sinuses: new concepts and explanations. Laryngoscope 1982;92:1–28CrossRefGoogle ScholarPubMed
2Rahbar, R, Shah, P, Mulliken, JB, Robson, CD, Perez-Atayde, AR, Proctor, MR et al. The presentation and management of nasal dermoid: a 30-year experience. Arch Otolaryngol Head Neck Surg 2003;129:464–71CrossRefGoogle Scholar
3Vaghela, HM, Bradley, PJ. Nasal dermoid sinus cyst in adults. J Laryngol Otol 2004;118:955–62CrossRefGoogle ScholarPubMed
4Duz, B, Secer, HI, Tosun, F, Gonul, E. Endoscopic endonasal resection of a midline intradural frontobasal dermoid tumour. Minim Invas Neurosurg 2007;50:363–6CrossRefGoogle ScholarPubMed
5van Aalst, JA, Luerssen, TG, Whitehead, WE, Havlik, RJ. ‘Keystone’ approach for intracranial nasofrontal dermoid sinuses. Plast Reconstr Surg 2005;116:13–19CrossRefGoogle ScholarPubMed
6Zapata, S, Kearns, DB. Nasal dermoids. Curr Opin Otolaryngol Head Neck Surg 2006;14:406–11CrossRefGoogle ScholarPubMed
7Blake, WE, Chow, CW, Holmes, AD, Meara, JG. Nasal dermoid sinus cysts: a retrospective review and discussion of investigation and management. Ann Plast Surg 2006;57:535–40CrossRefGoogle ScholarPubMed
8Posnick, JC, Bortoluzzi, P, Armstrong, DC, Drake, JM. Intracranial nasal dermoid sinus cysts: computed tomographic scan findings and surgical results. Plast Reconstr Surg 1994;93:745–54CrossRefGoogle ScholarPubMed
9Weiss, DD, Robson, CD, Mulliken, JB. Transnasal endoscopic excision of midline nasal dermoid from the anterior cranial base. Plast Reconstr Surg 1998;102:2119–23CrossRefGoogle ScholarPubMed
10Pollock, RA. Surgical approach to the nasal dermoid cyst. Ann Plast Surg 1983;10:498–501CrossRefGoogle Scholar
11Heywood, RL, Lyons, MJ, Cochrane, LA, Hayward, R, Hartley, BEJ. Excision of nasal dermoids with intracranial extension – anterior small window craniotomy approach. Int J Pediatr Otorhinolaryngol 2007;71:1193–6CrossRefGoogle ScholarPubMed
12Sanchez-Mejia, RO, Limbo, M, Tihan, T, Galvez, MG, Woodward, MV, Gupta, N. Intracranial dermoid cyst mimicking hemorrhage: case report and review of the literature. J Neurosurg 2006;105(suppl 4):311–14Google ScholarPubMed
13Blythe, JN, Revington, PJ, Nelson, R. Anterior cranial fossa dermoid cyst: case report. Br J Oral Maxillofac Surg 2007;45:661–3CrossRefGoogle ScholarPubMed