Endonasal removal of a large ethmoidal cementoblastoma.
Cementoblastoma is a benign tumour, which pertains to the family of fibro osseous lesions of the jaws. A small number of clinical reports of cementum containing tumours locating in the paranasal sinuses have been published during the last three decades. Ethmoidal cementomas often attain a large size; they can destroy surrounding bone, invade the orbit and the skull base and usually require radical surgery for complete excision. We present a new case of a large cementoblastoma located in the left posterior ethmoid in the close vicinity of the optic nerve canal. In the 40-year old woman, endoscopic endonasal computer-assisted surgery allowed for complete tumour removal. No intraoperative damage to the orbit and the optic nerve occurred. No residual tumour was found at the follow-up visit three years after the surgery.
Lopatin
Andrey S
AS
ENT-department, Central Hospital, Presidential Medical Centre, Moscow, Russia. asl@cch.pmc.ru
Kapitanov
Dmitry N
DN
D000328:Adult; D004724:Endoscopy; D005005:Ethmoid Sinus / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D009808:Odontogenic Tumors / Q000601:surgery*; D010255:Paranasal Sinus Neoplasms / Q000601:surgery*; D025321:Surgery, Computer-Assisted