title: Meningiomas presenting with paranasal sinus involvement.
abstract: Extracranial paranasal spread of meningiomas is uncommon. We describe the management of four cases, all of which first presented to an oto-rhino-laryngologist for an opinion. We suggest that greater use of modern imaging techniques could lead to earlier diagnosis. The natural history of extracranial spread is relatively benign but the management of regrowth of residual disease is difficult. We therefore suggest radical surgery in the first instance provided that the patients general health and configuration of the tumour allow.
authors.affiliation: Mersey Regional Department of Surgical Neurology, Walton Hospital, Liverpool.
authors.forename: K M
authors.initials: KM
authors.lastname: Morris
authors.forename: D
authors.initials: D
authors.lastname: Campbell
authors.forename: P M
authors.initials: PM
authors.lastname: Stell
authors.forename: I
authors.initials: I
authors.lastname: MacKenzie
authors.forename: J B
authors.initials: JB
authors.lastname: Miles
mesh_terms: D000328:Adult; D005005:Ethmoid Sinus; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008579:Meningioma / Q000000981:diagnostic imaging* / Q000601:surgery; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000000981:diagnostic imaging; D010255:Paranasal Sinus Neoplasms / Q000000981:diagnostic imaging* / Q000601:surgery; D013101:Sphenoid Sinus; D014057:Tomography, X-Ray Computed