Pneumocele of the frontal sinus producing orbital roof defect: case report and review of literature

Abdelaal, Ahmed; Abayazeed, Aly; Raghuram, Karthikram; Curé, Joel K.

doi:10.1016/j.amjoto.2009.01.001

Cited by 10 publications

(7 citation statements)

References 8 publications

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“…“Sinus headache” is characterized by episodes of pain over the sinus area of the face or around the eyes and is typically accompanied with nasal congestion and rhinorrhea. Cases with pneumosinus dilatans complicated with sinus pathology and presenting with sinus headache have been reported in the literature [6]. The present case in which headache was the first and only symptom of the patient does not fall within the diagnostic criteria of “sinus headache” due to the absence of sinus obstruction and mucosal pathology.…”

Section: Discussionmentioning

confidence: 67%

“…This is not always the case in other similar cases of sinus expansion. Complications of pneumosinus include cosmetic deformities due to the bossing of the facial bones [11], recurrent sinusitis due to obstruction of the paranasal sinus outflow tract [6], and proptosis, diplopia, or progressive blindness due to expansion towards the orbit [12]. We believe that in similar rare cases of abnormal sinus or mastoid air cells expansion, the treatment should be individualized and address the patients cardinal symptoms.…”

Section: Discussionmentioning

confidence: 99%

“…If bossing of the frontal or maxillary area causes cosmetic deformity, an open procedure with bone removal, reshaping and repositioning, with or without obliteration of the underlying sinus, can be performed. Similarly, orbital and optic nerve decompression can be achieved with an endoscopic, open or combined procedure [6]. …”

Section: Discussionmentioning

confidence: 99%

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Excessive Paranasal Sinuses and Mastoid Aeration as a Possible Cause of Chronic Headache

Kousoulis

Hajiioannou

Florou

et al. 2013

Case Reports in Otolaryngology

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The objective of this case report is to present a patient with chronic headache who was diagnosed with excessive aeration of all paranasal sinuses and mastoid air cells using computed tomography imaging. The volume and linear measurements of all of the cavities revealed values greater than the greatest values reported in the literature. To date, this is the second reported case of excessive enlargement of all paranasal sinuses and the first which includes the enlargement of the mastoid air cells. No surgical intervention was required for the patient, but in similar cases, with more severe symptoms, surgical treatment is a challenge for the surgeon and may mandate a multidisciplinary approach.

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Section: Discussionmentioning

confidence: 67%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Excessive Paranasal Sinuses and Mastoid Aeration as a Possible Cause of Chronic Headache

Kousoulis

Hajiioannou

Florou

et al. 2013

Case Reports in Otolaryngology

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“…If there is clinical manifestation of orbital compartment syndrome such as sudden orbital pain, visual disturbance, or restriction of ocular motion, emergent decomposition is necessary and can be made by canthotomy or needle aspiration of trapped air 3. Other surgical managements have previously been reported, such as frontal sinusotomy with anterior orbitotomy through a subbrow incision3 and an endoscopic approach 6. On the other hand, Muthiah et al reported that orbital emphysema associated with frontal sinus pneumocele resolved spontaneously as the air was absorbed 7.…”

Section: Discussionmentioning

confidence: 99%

A Case of Orbital Emphysema Associated with Frontal Sinus Pneumocele

et al. 2013

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Orbital emphysema is usually caused by trauma and fracture of an orbital bone, allowing air to pass from the sinuses into the orbit. Orbital emphysema without any significant trauma is rare. We present a case of a 67-year-old-woman who complained of left exophthalmos without any history of trauma, sneezing, or sinus surgery. Computed tomography scanning showed left orbital emphysema protruding the eyeball forward. The left frontal sinus was remarkably enlarged associated with a partial defect of the orbital roof, allowing air entry into the orbit. In addition, the frontal sinus ostium was occluded with the mucocele that served as a one-way valve between the frontal and the ethmoidal sinuses. We performed frontal craniotomy and removed the mucocele and the inner table of frontal bone to communicate the frontal sinus with the nasal cavity. After operation, her exophthalmos was improved.

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“…There are no standard methods for the treatment of pneumocele due to the rarity of cases, but endoscopic frontal sinusotomy and various methods to correct cosmetic defects have been reported to be effective (13,14).…”

Section: Discussionmentioning

confidence: 99%

Spontaneous pneumocephalus associated with pneumocele of the frontal sinus

Park

Kim

2010

Cephalalgia

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Background: Pneumoceles of the paranasal sinuses are a very rare condition; characterized by a distended air-filled paranasal sinus extending beyond the margins of the paranasal bone, with bony defects and extension of air into the surrounding soft tissues. Also, spontaneous pneumo-cephalus is a rare condition which represented only 0.6% in the largest reported series of pneumocephalus. Although pneumocephalus caused by sinogenic origins, such as osteoma, has been reported, spontaneous pneumocephalus has not been reported as a complication associated with pneumocele of the frontal sinus. Methods: We report a case of spontaneous pneumocephalus associated with a pneumocele involving the frontal sinus which presented as acute severe headache. Results: To the best of our knowledge, this is the first case report in literature reporting spontaneous pneumocephalus in association with pneumocele of the frontal sinus. Conclusions: Although pneumocele of the frontal sinus is a very rare condition, it can develop into spontaneous pneumocephalus, and thus it needs to be included in the differential diagnosis of acute severe headache.

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Pneumocele of the frontal sinus producing orbital roof defect: case report and review of literature

Cited by 10 publications

References 8 publications

Excessive Paranasal Sinuses and Mastoid Aeration as a Possible Cause of Chronic Headache

Excessive Paranasal Sinuses and Mastoid Aeration as a Possible Cause of Chronic Headache

A Case of Orbital Emphysema Associated with Frontal Sinus Pneumocele

Spontaneous pneumocephalus associated with pneumocele of the frontal sinus

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