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Vol. 2. Núm. 1.
Páginas 47-50 (enero 1991)
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Vol. 2. Núm. 1.
Páginas 47-50 (enero 1991)
Mucocele intracraneal asociado a osteoma intrasinusal
Visitas
1704
J. Rodríguez Hernández, C. Mestre Moreiro, A. Bárcena Orbe, J.M. Cañizal García
Servicio de Neurocirugía. Hospital del Aire. Madrid
F. Esteban Alonso*, S. Coca Menchero**
* Servicio de Neurorradiología. Hospital del Aire. Madrid
** Servicio de Anatomía Patológica. Hospital del Aire. Madrid
Este artículo ha recibido
Información del artículo
Resumen

Presentamos el caso de un mucocele intracraneal asociado a un osteoma intrasinusal paranasal.

Se discute el diagnóstico diferencial de las imágenes en el scanner y el procedimiento quirúrgico más adecuado a emplear. Optamos por un tratamiento en dos estadios: En el primero se practicó un colgajo osteoplástico frontal, extirpándose el mucocele y respetando la pared posterior del seno.

Seguidamente realizamos una frontoetmoidectomía para resecar el osteoma, completándose el procedimiento con un drenaje sinumeatal durante cinco meses.

Palabras clave:
Intracraneal
mucocele
osteoma
sinusal
colgajo osteoplástico
frontoetmoidectomía
Summary

An exceptional case of intracranial mucocele associated to intrasinusal osteoma is presented.

We discuss the differential diagnosis according to the densities in the CT Scan, and we also make comments about the surgical therapy applied.

We choose a two-stage surgical procedure for the radical removal of the lesion: First, a frontal osteoplastic craniotomy, for resecting the mucocele, was performed, and it was at the same time preserved the sinus’ back wall. Afterwards, a frontoethmoidectomy allowed us the removal of the osteoma. A fenestrated silastic drainage tube left in place for five months concluded the therapeutic measures.

Key words:
Mucocele
sinus-osteoma
frontoethmoidectomy

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