Multidisciplinary Surgical Management of Coexisting Frontoethmoidal Mucocele and Meningioma: A Case Report
João Francisco Barbosa Cordeiro
Department of Oral and Maxillofacial Surgery and Traumatology, UNIOESTE, Brazil.
Rafael da Silva Vanolli *
Department of Oral and Maxillofacial Surgery and Traumatology, UNIOESTE, Brazil.
Gabriela Cavalieri de Oliveira
Department of Neurosurgery at the University Hospital of Western Paraná – HUOP, Brazil.
Bruna Caroline Ruthes de Souza
Department of Oral and Maxillofacial Surgery and Traumatology, UNIOESTE, Brazil.
Paulo Ricardo Correa Schmidt
Department of Neurosurgery at the University Hospital of Western Paraná – HUOP, Brazil.
Ricardo Augusto Conci
Department of Oral and Maxillofacial Surgery and Traumatology, UNIOESTE, Brazil.
Eleonor Álvaro Garbin Júnior
Department of Oral and Maxillofacial Surgery and Traumatology, UNIOESTE, Brazil.
Geraldo Luiz Griza
Department of Oral and Maxillofacial Surgery and Traumatology, UNIOESTE, Brazil.
Marcius Benigno Marques dos Santos
Department of Neurosurgery at the University Hospital of Western Paraná – HUOP, Brazil.
*Author to whom correspondence should be addressed.
Abstract
Aims: This study aims to review the multidisciplinary surgical approach to managing frontal sinus mucoceles associated with meningiomas, emphasizing the importance of collaboration between maxillofacial surgery and neurosurgery. The objective is to assess optimal strategies for lesion removal, sinus reconstruction, and postoperative care to reduce complications and improve patient outcomes.
Study Design: This is a retrospective literature review analyzing documented cases of coexisting frontal sinus mucoceles and meningiomas, along with their surgical management and outcomes.
Place and Duration of Study: Relevant studies from multiple medical institutions and surgical case reports published in peer-reviewed journals between 1979 and 2024 were included.
Methodology: Data were collected from published case studies and reviews on patients diagnosed with both frontal sinus mucoceles and meningiomas. The analysis focused on surgical techniques, the involvement of different medical specialties, and postoperative results. Special attention was given to procedures such as frontal sinus cranialization, sinus drainage restoration, and prevention of mucocele recurrence.
Results: The coexistence of frontal sinus mucoceles and meningiomas presents significant surgical challenges, requiring a coordinated effort between maxillofacial and neurosurgical teams. Studies indicate that the obstruction of the frontal sinus ostium by a meningioma often predisposes patients to secondary mucocele formation. Advanced reconstruction techniques, such as cranialization and frontal recess obliteration, significantly reduce recurrence rates and postoperative complications. The integration of endoscopic and open surgical approaches has demonstrated favorable outcomes, minimizing morbidity and enhancing functional recovery.
Conclusion: A multidisciplinary surgical approach is essential for successfully managing frontal sinus mucoceles associated with meningiomas. Proper lesion removal, sinus reconstruction, and long-term follow-up can prevent recurrence and ensure optimal patient outcomes. Further research and case studies are needed to refine treatment strategies and improve surgical planning in these complex cases. Decrease medical as well as financial burden, hence improving the management of cirrhotic patients. These predictors, however, need further work to validate reliability.
Keywords: Frontal sinus mucocele, meningioma, multidisciplinary surgery