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Endoscopic resection of intracranial dermoid cysts

Published online by Cambridge University Press:  27 January 2011

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: bwoodwo@hotmail.com

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.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 2011

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