Aspectos neurocirúrgicos dos osteomas fronto-etmoidais: relato de 6 casos e revisão da literatura

Novaes, Virgililo; Pinaud, Marcelo; Paranhos, J. L.; D'Alessandro, J. R.

doi:10.1590/S0004-282X1977000300003

Resumos

São relatados seis casos de osteomas fronto-etmoidais que provocaram complicações intracranianas ou orbitárias. Os casos são divididos em dois grupos, dependendo dos sintomas observados, desde deformações cranio-faciais e exoftalmo até complicações mais graves como rinorréas, meningites, pneumocéfalos e mucoceles. Uma revisão da literatura mostra a importância destas lesões na patologia neurocirúrgica como causa de meningites recidivantes, rinorréas espontâneas e pneumocéfalos não traumáticos. Uma análise crítica das técnicas cirúrgicas propostas mostra que, por meio de craniotomia frontal, é possível obter resultado bom, tanto estético como funcional.

The cases of six patients with fronto-ethmoidal osteomas which have produced intracranial complications are reported. The patients have been divided in two groups depending on their clinical aspects, from cranio-facial deformities to exophtalmus, rinorrhea, pneumocephalus, meningitis and mucocele. A review of the literature is made and the importance of such lesions is stressed together with a critical analysis of the methods proposed for their surgical treatment. The results obtained with a frontal approach and a plastic closure of the dura were uniformelly good with restoration of functions in all patients.

Aspectos neurocirúrgicos dos osteomas fronto-etmoidais: relato de 6 casos e revisão da literatura

Neurosurgical aspects of fronto-ethmoidal osteomas: report of 6 cases and review of the literature

Virgililo Novaes^I; Marcelo Pinaud^I; J. L. Paranhos^I; J. R. D'Alessandro^II

^ISeção de Neurocirurgia, Clinica São Vicente, Gávea, Rio de Janeiro RJ

^IIInstituto de Neurologia, São José do Rio Preto, SP

RESUMO

São relatados seis casos de osteomas fronto-etmoidais que provocaram complicações intracranianas ou orbitárias. Os casos são divididos em dois grupos, dependendo dos sintomas observados, desde deformações cranio-faciais e exoftalmo até complicações mais graves como rinorréas, meningites, pneumocéfalos e mucoceles. Uma revisão da literatura mostra a importância destas lesões na patologia neurocirúrgica como causa de meningites recidivantes, rinorréas espontâneas e pneumocéfalos não traumáticos. Uma análise crítica das técnicas cirúrgicas propostas mostra que, por meio de craniotomia frontal, é possível obter resultado bom, tanto estético como funcional.

SUMMARY

The cases of six patients with fronto-ethmoidal osteomas which have produced intracranial complications are reported. The patients have been divided in two groups depending on their clinical aspects, from cranio-facial deformities to exophtalmus, rinorrhea, pneumocephalus, meningitis and mucocele. A review of the literature is made and the importance of such lesions is stressed together with a critical analysis of the methods proposed for their surgical treatment. The results obtained with a frontal approach and a plastic closure of the dura were uniformelly good with restoration of functions in all patients.

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1. ANDREW, J. - Osteomata of the paranasal sinuses. Brit. J. Surg. 43:489, 1956.
2. APPALANARASAYA, K.; MURTHY, A.S.R. & VISWANATH, C.K. - Osteoha involving the orbit. Inter. Surg. 54:449,1970.
3. ARMITAGE G. - Osteoma of the sinus with particular reference to its intracranial complications. Brit. J. Surg. 18:565, 1931.
4. ARNOLD. J. - Zwei Osteoma der Stirnhohle. Virchows Arch. Pathol. Anat. 57:145. 1973.
5. ARSENI, C.; CHITESCO, M. & CIOLOCA, C. - Intracerebral mucocele. Neurochirurgia (Stuttgart) 16:50, 1973.
6. BARTLETT, J.R. - Intracranial neurological complications of ethmoidal osteomas. Brit. J. Surg. 58:607, 1971.
7. BEGLEY, J.W. JR. & HALLBERG, O.E. - Osteomas of the paranasal sinuses and their treatment, Proc. Staff Mayo Clinic 25:13, 1950.
8. BELL, F.G. - Intracranial pneumatocele associated with an orbito-ethmoidal osteoma. Austr. New Zealand J. Surg. 4:70, 1934.
9. BENTES R. - Osteomas dos seios paranasals. Gaz. Sanit. 4:152, 1970.
10. BERTELLI, A.P. - Osteomas dos ossos da face. Rev. Paulista Med. 81:77, 1973.
11. CAMPBELL, E.H. & GOTTSCHALK, R.B. - Osteoma of the frontal sinus and penetration of lateral ventricle with intermitent pneumocephalus. J.A.M.A. 111:239, 1938.
12. CASSADY, C.L. & ALEXANDER, F.W. - Removal of a large fronto-ethmoidal osteoma. Arch. Otolaryngol. 93:81, 1971.
13. CHILDREY, J.H. - Osteoma of the sinuses of the frontal and sphenoid bones. Arch. Otolaryngol. 30:63, 1939.
14. CUSHING, H.W. - Experience with orbito-ethmoidal osteomata having intracranial complications. Surg. Gynecol. Obstet. 44:121, 1927.
15. DAHLIN, D.C. - Bone Tumours, Charles C. Thomaz, Springfield (Illinois). 1957.
16. DAMATO, E.J. & DAMATO, T.J. - Orbitoethmoidal osteomas. Arch. Ophtalm. 60:290, 1956.
17. DOWLING, J.R. - Osteoma of the frontal sinuses: report of five cases. Arch. Otolaryngol. 41:99, 1945.
18. FETISSOF, A.G. - Pathogenesis of the osteoma of the paranasal accessory sinueses. Ann. Otol. Rhinol. Laryngol. 38:404, 1929.
19. FORREST, A.W. - Intraorbital tumours. Arch. Ophtalmol. 41:198, 1949.
20. GARDNER, E.J. & RICHARDS, R.C. - Multiple cutaneous and sub-cutaneous lesions occuring simultaneously with hereditary polyposis and osteomatosis. Am. J. Hum. Genet. 5:139, 1953.
21. GATEWOOD, W.L. & SETTEL, N. - Osteoma of the frontal sinus. Arch. Otolaryngol. 22:154, 1935.
22. GEISSLER, W. - Zur Behandlung der Stirnhohlenosteoma. Zbl. Chirurg. 77:1135, 1952.
23. GOLD, L.H.A.; KIEFFER, S.A. & PETERSON, H.O. - Intracranial meningiomas: a retrospective analysis of the diagnostic value of the plain skull films. Neurology (Minneapolis) 98:873, 1969.
24. GOODLALE, R.L. & MONTGOMERY, W.N. - Experiences with the osteoplastic anterior wall approach to the frontal sinus. Arch. Otolaryngol. 68:271, 1958.
25. HALBERG, O.E. & REGLEY, J.W. - Origin and treatment of osteomatas of the paranasal sinuses. Arch. Otolaryngol. 51:750, 1950.
26. HOOVER, W.B. & HORRAX G. - Osteomas of the nasal accessory sinuses. Surg. Gynecol. Obstet. 61:821, 1935.
27. KATLAN, N.R. & GRIFFIN, W.R. - Osteoma of the orbit. Arch. Ophtalmol. 65:542, 1961.
28. KRETSCHMER, H. - Tumoren der Shadelknochen mit Hirntumorenssymptomatik. Zbl. Neurochirug. 31:247, 1970.
29. LILLIE, H.I. - External operations on the frontal sinus. Am. J. Surg. 42:199, 1938.
30. MACHADO. R. - Osteoma das cavidades perinasais. Bol. Col. Bras. Cirurg. 16:143, 1941.
31. MALAN, E. - Chirurgia degli osteomi delle cavitá pneumatiche perifacialli. Arch Ital. Chirurg. 58:1. 1938.
32. MARCO, J.; FERNANDES, R.; MUNOZ F. & NAVARRO, F. - Osteoma ethmoidofrontal gigante. Acta Otorinolar. Ibero-Amer. 5:588, 1965.
33. MELLARAGNO. R.F. & CUTIN, M. - Complicações neurológicas por osteomas dos seios paranasals: a propósito de um caso de pneumatocele extradural por osteoma do seio frontal. Arq. Neuro-Psiquiatria (São Paulo) 9:133, 1951.
34. METHA, B.S. & GREWAL, G.S. - Osteoma of the paranasal sinuses along with a case report of an orbito-ethmoidal osteoma. J. Laryngol. 77:601, 1963.
35. MORTADA, A. - Exophtalmos and bony tumours of the orbit. Am. J. Ophtalmol. 57:270, 1964.
36. MOSS, H. - Expanding lesions of the orbit. Am. J. Ophtalmol. 54:761, 1962.
37. MURPHEY, H.S. - Osteoma of the frontal sinus with eye displacement. Arch. Otolaryngol. 62:432, 1955.
38. NASCIMENTO, H. - Osteoma fronto-etmoidal e pneumatocele. Arq. Inst. Penido Burnier (Campinas) 7:161, 1945.
39. NEWELL, R.N.; HANNA, H.H. & SMITH, A.E. - Frontal sinus isteomas. Arch. Otolaryngol. 72:248, 1960.
40. NOCHOLIS. J. - Granuloma of the orbit containing cholesterol. Am. J. Ophtalmol. 41:234, 1956.
41. NOVICK, J. - Osteoma of the frontal sinus. Arch. Otolaryngol. 46:655, 1947.
42. OLUMIDE, A.A.: FAJEMISIN, A.A. & ADELOYE, A. - Osteoma of the ethmoidofrontal sinuses, J. Neurosurg. 42:343, 1975.
43. PERTU, M.L. - Cranial Hyperotosis. Charles C. Thomas, Springfield, (Illinois), 1964.
44. POOL, J.L.; POTANOS, J.N. & KRUEGER, E.G. - Osteomas and mucoceles of the frontal paranasal sinuses. J. Neurosurg. 19:130, 1962.
45. RAWE, S.E. & VAN GILDER, J.C. - Surgical removal of orbital osteoma. J. Neurosurg. 44:233, 1976.
46. REESE, A.B. - Orbital tumours. Am. J. Ophtalmol. 24:497, 1941.
47. RICHET, M. - Memoires sur les exostoses des sinus frontal. Bull. Acad. Medic. (Paris) 36:564, 1871.
48. ROWBOTHAM, G.F. - Neoplasms that grows from the bone forming elements of the skull: a survey of 20 cases, Brit. J, Surg. 45:123, 1957.
49. RUDALI, G. - Experimental production of hyperostosis frontalis interna in mice. C.R. Acad. Scien. (Paris) 254:3457, 1962.
50. SAMY, L.L. & MORTAGA, A. - Osteoma of the nose and paranasal sinus with a report of 21 cases. J. Laryngol. Otol. 85:449, 1971.
51. SCHWARTZ, C.W. -- Cranial osteomas. Am. J. Roentgenol, 44:188, 1940.
52. SMITH, G.W. & CHAVEZ M. - Giant mucocele of the frontal sinus. J. Neurol. Neurosurg. Psychiat. 23:179, 1960.
53. SOUM, M.L. & KHILNANI, M.T - Massive frontal osteoma: surgical treatment. J. Mount Sinai Hosp. 22:124, 1955.
54. STEFANOVIC, B.; SAVIC, D. & SIMONIVIC, M. - Les osteomes des maxillaires superieurs et de l'ethmoide. J. Fr. Otorhinolar. 1:85, 1966.
55. TEED, R.W. - Primary osteoma of the frontal sinuses. Arch. Otolaryngol. 33:255, 1941.
56. TENNER, M.S. & TROKEL, S.L. - Radiologic methods in neuro-ophtalmologic problems. Am. J. Ophtalmol. 68:883, 1969.
57. ZANCA, P. - Multiple hereditary cartilagenous exostosis with polyposis of colon. U.S. Armed Forces Med. J. 7:116, 1956.

Datas de Publicação

Publicação nesta coleção
30 Ago 2012
Data do Fascículo
Set 1977

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

[1] 1. ANDREW, J. - Osteomata of the paranasal sinuses. Brit. J. Surg. 43:489, 1956.

[2] 2. APPALANARASAYA, K.; MURTHY, A.S.R. & VISWANATH, C.K. - Osteoha involving the orbit. Inter. Surg. 54:449,1970.

[3] 3. ARMITAGE G. - Osteoma of the sinus with particular reference to its intracranial complications. Brit. J. Surg. 18:565, 1931.

[4] 4. ARNOLD. J. - Zwei Osteoma der Stirnhohle. Virchows Arch. Pathol. Anat. 57:145. 1973.

[5] 5. ARSENI, C.; CHITESCO, M. & CIOLOCA, C. - Intracerebral mucocele. Neurochirurgia (Stuttgart) 16:50, 1973.

[6] 6. BARTLETT, J.R. - Intracranial neurological complications of ethmoidal osteomas. Brit. J. Surg. 58:607, 1971.

[7] 7. BEGLEY, J.W. JR. & HALLBERG, O.E. - Osteomas of the paranasal sinuses and their treatment, Proc. Staff Mayo Clinic 25:13, 1950.

[8] 8. BELL, F.G. - Intracranial pneumatocele associated with an orbito-ethmoidal osteoma. Austr. New Zealand J. Surg. 4:70, 1934.

[9] 9. BENTES R. - Osteomas dos seios paranasals. Gaz. Sanit. 4:152, 1970.

[10] 10. BERTELLI, A.P. - Osteomas dos ossos da face. Rev. Paulista Med. 81:77, 1973.

[11] 11. CAMPBELL, E.H. & GOTTSCHALK, R.B. - Osteoma of the frontal sinus and penetration of lateral ventricle with intermitent pneumocephalus. J.A.M.A. 111:239, 1938.

[12] 12. CASSADY, C.L. & ALEXANDER, F.W. - Removal of a large fronto-ethmoidal osteoma. Arch. Otolaryngol. 93:81, 1971.

[13] 13. CHILDREY, J.H. - Osteoma of the sinuses of the frontal and sphenoid bones. Arch. Otolaryngol. 30:63, 1939.

[14] 14. CUSHING, H.W. - Experience with orbito-ethmoidal osteomata having intracranial complications. Surg. Gynecol. Obstet. 44:121, 1927.

[15] 15. DAHLIN, D.C. - Bone Tumours, Charles C. Thomaz, Springfield (Illinois). 1957.

[16] 16. DAMATO, E.J. & DAMATO, T.J. - Orbitoethmoidal osteomas. Arch. Ophtalm. 60:290, 1956.

[17] 17. DOWLING, J.R. - Osteoma of the frontal sinuses: report of five cases. Arch. Otolaryngol. 41:99, 1945.

[18] 18. FETISSOF, A.G. - Pathogenesis of the osteoma of the paranasal accessory sinueses. Ann. Otol. Rhinol. Laryngol. 38:404, 1929.

[19] 19. FORREST, A.W. - Intraorbital tumours. Arch. Ophtalmol. 41:198, 1949.

[20] 20. GARDNER, E.J. & RICHARDS, R.C. - Multiple cutaneous and sub-cutaneous lesions occuring simultaneously with hereditary polyposis and osteomatosis. Am. J. Hum. Genet. 5:139, 1953.

[21] 21. GATEWOOD, W.L. & SETTEL, N. - Osteoma of the frontal sinus. Arch. Otolaryngol. 22:154, 1935.

[22] 22. GEISSLER, W. - Zur Behandlung der Stirnhohlenosteoma. Zbl. Chirurg. 77:1135, 1952.

[23] 23. GOLD, L.H.A.; KIEFFER, S.A. & PETERSON, H.O. - Intracranial meningiomas: a retrospective analysis of the diagnostic value of the plain skull films. Neurology (Minneapolis) 98:873, 1969.

[24] 24. GOODLALE, R.L. & MONTGOMERY, W.N. - Experiences with the osteoplastic anterior wall approach to the frontal sinus. Arch. Otolaryngol. 68:271, 1958.

[25] 25. HALBERG, O.E. & REGLEY, J.W. - Origin and treatment of osteomatas of the paranasal sinuses. Arch. Otolaryngol. 51:750, 1950.

[26] 26. HOOVER, W.B. & HORRAX G. - Osteomas of the nasal accessory sinuses. Surg. Gynecol. Obstet. 61:821, 1935.

[27] 27. KATLAN, N.R. & GRIFFIN, W.R. - Osteoma of the orbit. Arch. Ophtalmol. 65:542, 1961.

[28] 28. KRETSCHMER, H. - Tumoren der Shadelknochen mit Hirntumorenssymptomatik. Zbl. Neurochirug. 31:247, 1970.

[29] 29. LILLIE, H.I. - External operations on the frontal sinus. Am. J. Surg. 42:199, 1938.

[30] 30. MACHADO. R. - Osteoma das cavidades perinasais. Bol. Col. Bras. Cirurg. 16:143, 1941.

[31] 31. MALAN, E. - Chirurgia degli osteomi delle cavitá pneumatiche perifacialli. Arch Ital. Chirurg. 58:1. 1938.

[32] 32. MARCO, J.; FERNANDES, R.; MUNOZ F. & NAVARRO, F. - Osteoma ethmoidofrontal gigante. Acta Otorinolar. Ibero-Amer. 5:588, 1965.

[33] 33. MELLARAGNO. R.F. & CUTIN, M. - Complicações neurológicas por osteomas dos seios paranasals: a propósito de um caso de pneumatocele extradural por osteoma do seio frontal. Arq. Neuro-Psiquiatria (São Paulo) 9:133, 1951.

[34] 34. METHA, B.S. & GREWAL, G.S. - Osteoma of the paranasal sinuses along with a case report of an orbito-ethmoidal osteoma. J. Laryngol. 77:601, 1963.

[35] 35. MORTADA, A. - Exophtalmos and bony tumours of the orbit. Am. J. Ophtalmol. 57:270, 1964.

[36] 36. MOSS, H. - Expanding lesions of the orbit. Am. J. Ophtalmol. 54:761, 1962.

[37] 37. MURPHEY, H.S. - Osteoma of the frontal sinus with eye displacement. Arch. Otolaryngol. 62:432, 1955.

[38] 38. NASCIMENTO, H. - Osteoma fronto-etmoidal e pneumatocele. Arq. Inst. Penido Burnier (Campinas) 7:161, 1945.

[39] 39. NEWELL, R.N.; HANNA, H.H. & SMITH, A.E. - Frontal sinus isteomas. Arch. Otolaryngol. 72:248, 1960.

[40] 40. NOCHOLIS. J. - Granuloma of the orbit containing cholesterol. Am. J. Ophtalmol. 41:234, 1956.

[41] 41. NOVICK, J. - Osteoma of the frontal sinus. Arch. Otolaryngol. 46:655, 1947.

[42] 42. OLUMIDE, A.A.: FAJEMISIN, A.A. & ADELOYE, A. - Osteoma of the ethmoidofrontal sinuses, J. Neurosurg. 42:343, 1975.

[43] 43. PERTU, M.L. - Cranial Hyperotosis. Charles C. Thomas, Springfield, (Illinois), 1964.

[44] 44. POOL, J.L.; POTANOS, J.N. & KRUEGER, E.G. - Osteomas and mucoceles of the frontal paranasal sinuses. J. Neurosurg. 19:130, 1962.

[45] 45. RAWE, S.E. & VAN GILDER, J.C. - Surgical removal of orbital osteoma. J. Neurosurg. 44:233, 1976.

[46] 46. REESE, A.B. - Orbital tumours. Am. J. Ophtalmol. 24:497, 1941.

[47] 47. RICHET, M. - Memoires sur les exostoses des sinus frontal. Bull. Acad. Medic. (Paris) 36:564, 1871.

[48] 48. ROWBOTHAM, G.F. - Neoplasms that grows from the bone forming elements of the skull: a survey of 20 cases, Brit. J, Surg. 45:123, 1957.

[49] 49. RUDALI, G. - Experimental production of hyperostosis frontalis interna in mice. C.R. Acad. Scien. (Paris) 254:3457, 1962.

[50] 50. SAMY, L.L. & MORTAGA, A. - Osteoma of the nose and paranasal sinus with a report of 21 cases. J. Laryngol. Otol. 85:449, 1971.

[51] 51. SCHWARTZ, C.W. -- Cranial osteomas. Am. J. Roentgenol, 44:188, 1940.

[52] 52. SMITH, G.W. & CHAVEZ M. - Giant mucocele of the frontal sinus. J. Neurol. Neurosurg. Psychiat. 23:179, 1960.

[53] 53. SOUM, M.L. & KHILNANI, M.T - Massive frontal osteoma: surgical treatment. J. Mount Sinai Hosp. 22:124, 1955.

[54] 54. STEFANOVIC, B.; SAVIC, D. & SIMONIVIC, M. - Les osteomes des maxillaires superieurs et de l'ethmoide. J. Fr. Otorhinolar. 1:85, 1966.

[55] 55. TEED, R.W. - Primary osteoma of the frontal sinuses. Arch. Otolaryngol. 33:255, 1941.

[56] 56. TENNER, M.S. & TROKEL, S.L. - Radiologic methods in neuro-ophtalmologic problems. Am. J. Ophtalmol. 68:883, 1969.

[57] 57. ZANCA, P. - Multiple hereditary cartilagenous exostosis with polyposis of colon. U.S. Armed Forces Med. J. 7:116, 1956.