Beyin cerrahisi ve kulak burun boğaz hastaliklarinin işbirliğiyle opere edilen komplike frontal sinüs patolojilerinde dural invazyonun değerlendirilmesi

Year 2023, Volume: 48 Issue: 3, 979 - 986, 30.09.2023

Tolga Gediz , Özer Gür

https://doi.org/10.17826/cumj.1351185

Abstract

Amaç: Bu çalışmada frontal sinüsle ilişkili patolojilerde dural invazyonun beyin cerrahi ve kulak buran boğaz tarafından yapılan ortak müdahalelerin değrelndirilmesi amaçlanmıştır.
Gereç ve Yöntem: Ocak 2018 ile Temmuz 2023 tarihleri arasında frontal sinüsle ilişkili patolojiler için Kulak Burun Boğaz Hastalıkları ve Beyin Cerrahisi bölümleri tarafından işbirliğiyle cerrahi uygulanan 45 hasta üzerinde kapsamlı bir çalışma yapıldı. Hastaların demografik bilgileri, patoloji türleri ve cerrahi yaklaşımları; tıbbi kayıtlardan, cerrahi raporlardan, görüntüleme çalışmalarından ve videolardan toplandı. Cerrahi tercih kararları patolojiye özel verildi ve uygulanan teknikler kayıt altına alındı.
Bulgular: 45 hastanın 31'i kadın (%68,8) olup yaş ortalaması 44'tür. Cerrahi sırasında arka duvar defekti 13 (%28,8) hastada tespit edilmiş olup sadece 8'ine müdahale gerekti. Tanımlanan dural invazyonu olan 8 (%17,7) hastada ise 5 (%11,1) vakada patolojik dural doku çıkarıldı ve duraplasti yapıldı. Hastalarda postoperatif dönemde nörolojik komplikasyon gözlenmedi.
Sonuç: Sınırlamalara rağmen, bulgular gelişen literatüre katkıda bulunurken, hasta değerlendirme stratejilerini optimize etmek için ileriye yönelik çalışmalara ihtiyaç olduğunu da vurgulamaktadır.

Keywords

Dural tutulum, frontal sinüs, intrakraniyal komplikasyonlar, kulak burun boğaz, nöroşirürji, disiplinler arası işbirliği

Supporting Institution

Yok

Assessment of dural invasion in complex cases operated on by collaborative efforts of neurosurgery and otolaryngology for pathologies associated with the frontal sinus

Abstract

Purpose: The aim of this study was to evaluate the common interventions performed by neurosurgery and otolaryngology in dural invasion in frontal sinus related pathologies.
Materials and Methods: A comprehensive study involving 45 patients who underwent surgical interventions for frontal sinus-associated pathologies between January 2018 and July 2023 was conducted collaboratively by otorhinolaryngology and neurosurgery departments. Patient data, including demographics, pathology types, and surgical approaches, were collected from medical records, surgical reports, imaging studies, and videos. Interdisciplinary surgical teams executed tailored interventions with documented techniques.
Results: Among 45 patients, 31 were female (68.8%) with a mean age of 44. Posterior wall defects were detected in 13 (28.8%) patients, and intervention was necessary for only 8 of them. Among the 8 (17.7%) patients with identified dural invasion, pathological dural tissue was excised, and duraplasty was performed in 5 (11.1%) cases. There were no neurological complications observed in patients during the postoperative period.
Conclusion: Despite limitations, the findings contribute to evolving knowledge and highlight the need for prospective studies to optimize patient care strategies.

Keywords

Dural invasion;, Frontal sinus, Otolaryngology;, Neurosurgery;, Interdisciplinary collaboration

References

• Vázquez A, Baredes S, Setzen M, Eloy JA. Overview of frontal sinus pathology and management. Otolaryngol Clin North Am. 2016;49;4:899-910.
• Pronina OМ, Koptev MM, Vynnyk NI, Proskurnya SA, Filenko BM. Current view on the structure and function of the frontal sinus: literature review. Wiad Lek. 2018;71;6:1215-18.
• Wu PW, Huang CC, Yang SW, Huang Y, Huang CC, Chang PH et al. Endoscopic sinus surgery for pediatric patients: Prognostic factors related to revision surgery. Laryngoscope. 2020;130;4:1051-55.
• Kaski HM, Alakärppä A, Lantto U, Laajala A, Tokola P, Penna T et al. Endoscopic sinus surgery (ESS) to change quality of life for adults with recurrent rhinosinusitis: study protocol for a randomized controlled trial. Trials. 2021;8;22;1:606.
• Koizumi M, Suzuki S, Matsui H, Fushimi K, Yamasoba T, Yasunaga H. Trends in complications after functional endoscopic sinus surgery in Japan: A comparison with a previous study (2007-2013vs. 2013-2017). Auris Nasus Larynx. 2020;47;5:814-19.
• Spinos D, Kalamatianos T, Terzakis D, Piagkou M, Georgalas C. Treatment strategies for inverted papillomas with intracranial or intraorbital involvement. J Laryngol Otol. 2021;135;10:904-10.
• Fanucci E, Fiaschetti V, Fusco N, Viarani S, Gargari M, Barlattani A et al. Role of diagnostic imaging to malignant sinus tumors in presurgical staging. Oral Implantol (Rome). 2008;1;2:56-65.
• Welch KC. Neurologic Complications and Treatment. Otolaryngol Clin North Am. 2015;48;5:769-82.
• Kolcun JPG, Richardson AM, Gernsback JE, Rosenberg A, Komotar RJ. Frontal sinus osteoma presenting with meningitis and epilepsy. World Neurosurg. 2019;123:216-20.
• Licci M, Zweifel C, Hench J, Guzman R, Soleman J. Frontoethmoidal osteoma with secondary intradural mucocele extension causing frontal lobe syndrome and pneumocephalus: case report and review of literature. World Neurosurg. 2018;115:301-8.
• Osborn MK, Steinberg JP. Subdural empyema and other suppurative complications of paranasal sinusitis. Lancet Infect Dis. 2007;7;1:62-7.
• Asiri MA, Almusallam MH, Almashari Y, Allarakia Y, Alhedaithy RA. Orbital and Intracranial Complications of Acute Rhinosinusitis in a Tertiary Center, Saudi Arabia. Cureus. 2023;2;15;8:42866.
• Scullen T, Hanna J, Carr C, Mathkour M, Aslam R, Amenta P et al. Surgical Approaches in the Treatment of Intracranial Complications of Paranasal Sinus Disease: A Review of the Literature. World Neurosurg. 2019;130:24-9.
• Adil E, Kim JJ, Kawai K, Cunningham MJ. Management of intracranial sinusitis complications in children and adolescents: similarities and differences among otolaryngology subspecialists. OTO Open. 2022;21;6;3:2473974X221120635.
• Kaski HM, Alakärppä A, Lantto U, Laajala A, Tokola P, Penna T et al. Endoscopic sinus surgery (ESS) to change quality of life for adults with recurrent rhinosinusitis: study protocol for a randomized controlled trial. Trials. 2021;8;22;1:606.
• Suzuki S, Yasunaga H, Matsui H, Fushimi K, Kondo K, Yamasoba T. Complication rates after functional endoscopic sinus surgery: analysis of 50,734 Japanese patients. Laryngoscope. 2015;125;8:1785-91.
• Tewfik MA, Wormald PJ. Ten pearls for safe endoscopic sinus surgery. Otolaryngol Clin North Am. 2010;43;4:933-44.
• Lawson W, Ho Y. Open frontal sinus surgery: a lost art. Otolaryngol Clin North Am. 2016;49:1067-89.
• Kelly A, Alhelali N, McGarry GW. A stepwise approach to open surgery for the frontal sinus. J Laryngol Otol. 2021;135;2:173-75.
• Schur SE, Hanna EY, Su SY, Kupferman ME, DeMonte F, Raza SM. Impact of salvage surgery for recurrent sinonasal cancers with skull base and intracranial involvement. J Neurosurg. 2022;4:1-8.
• Strek P, Zagólski O, Składzień J, Kurzyński M, Dyduch G. Osteomas of the paranasal sinuses: surgical treatment options. Med Sci Monit. 2007;13;5:244-50.
• Licci M, Zweifel C, Hench J, Guzman R, Soleman J. Frontoethmoidal osteoma with secondary intradural mucocele extension causing frontal lobe syndrome and pneumocephalus: case report and review of literature. World Neurosurg. 2018;115:301-8.
• Herndon M, McMains KC, Kountakis SE. Presentation and management of extensive fronto-orbital-ethmoid mucoceles. Am J Otolaryngol. 2007;28:145-47.
• Stokken J, Wali E, Woodard T, Recinos PF, Sindwani R. Considerations in the management of giant frontal mucoceles with significant intracranial extension: A systematic review. Am J Rhinol Allergy. 2016;30;4:301-5.
• Béquignon E, Cardinne C, Lachiver X, Wagner I, Chabolle F, Baujat B. Craniofacial fibrous dysplasia surgery: a functional approach. Eur Ann Otorhinolaryngol Head Neck Dis. 2013;130;4:215-20.
• Yen PT, Chan ST, Huang TS. Brain abscess: with special reference to otolaryngologic sources of infection. Otolaryngol Head Neck Surg. 1995;113;1:15-22.
• Koizumi M, Ishimaru M, Matsui H, Fushimi K, Yamasoba T, Yasunaga H. Outcomes of endoscopic sinus surgery for sinusitis-induced intracranial abscess in patients undergoing neurosurgery. Neurosurg Focus. 2019;1;47;2:12.
• Bandino F, Thota R, Pendolino AL, Chaidas K, Jeyaretna S, Lawrence T et al. A surgical protocol for sinogenic brain abscess: the Oxford experience and a review of the literature. Rhinology. 2022;1;60;5:357-67