Case Report | | Peer-Reviewed

400 Gramme on Skull Base and Face: Complete Removal and Reconstruction

Received: 23 April 2024     Accepted: 10 May 2024     Published: 24 May 2024
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Abstract

Background: Huge craniofacial tumors represent a surgical challenge not only for high risk of intraoperative damage of the brain and sense organs of the face, but also for esthetical issues which may occur postoperatively. This surgery is riskier when these processes are represented by massive compact bone such as osteomas. Case presentation: A young patient with huge disfiguring osteoma of anterior skull base extended to sphenoidal, frontal, maxillary sinuses as well as in orbits benefit for a complete removal with craniofacial reconstruction through a surgical teamwork including neurosurgeon, maxillofacial surgeon and ophthalmologist; with an overt satisfactory cosmetic result. Preoperative planning is reported as well as the intraoperative procedure and the postoperative reconstruction and follow up. Conclusion: Craniofacial osteoma represents a surgical and cometic challenge for their resection. This resection is tailored through sophisticated devices such as preoperative 3D (3 dimension) printed model, intraoperative neuronavigation, and the use on custom-made bone. In place where this reported patient is managed, these tools are unavailable. Thus, priority should be given to teamwork with accurate preoperative planning and manually confectioned cranioplasty. Endoscopic approach for these processes gained more and more indication in the resection of these craniofacial and skull base osteomas. Since this device require a learning curve, laboratory training for is proper using as well as in microneurosurgery techniques is highly recommended. A hope is encountered though the humanitarian implication of some organization and universities.

Published in International Journal of Neurosurgery (Volume 8, Issue 1)
DOI 10.11648/j.ijn.20240801.13
Page(s) 16-21
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Osteoma, Craniofacial Sinuses, Skull Base, Orbit, Cranioplasty, Endoscopy, Microneurosurgery Laboratory

References
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[21] Abou Al-Shaar H, El Arjani T, Timms MS, Al-Otaibi F. Giant orbitoethmoidal osteoma: when an open surgical approach is required. Case Rep Otolaryngol. 2015: 872038.
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  • APA Style

    Dao, I., Traoré, I., Kohoun, M., Somda, A., Sow, S., et al. (2024). 400 Gramme on Skull Base and Face: Complete Removal and Reconstruction. International Journal of Neurosurgery, 8(1), 16-21. https://doi.org/10.11648/j.ijn.20240801.13

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    ACS Style

    Dao, I.; Traoré, I.; Kohoun, M.; Somda, A.; Sow, S., et al. 400 Gramme on Skull Base and Face: Complete Removal and Reconstruction. Int. J. Neurosurg. 2024, 8(1), 16-21. doi: 10.11648/j.ijn.20240801.13

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    AMA Style

    Dao I, Traoré I, Kohoun M, Somda A, Sow S, et al. 400 Gramme on Skull Base and Face: Complete Removal and Reconstruction. Int J Neurosurg. 2024;8(1):16-21. doi: 10.11648/j.ijn.20240801.13

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  • @article{10.11648/j.ijn.20240801.13,
      author = {Ibrahim Dao and Ibrahima Traoré and Michel Kohoun and Astride Somda and Salah Sow and Nasser Doukouré and Narcisse Ouedraogo and Ousmane Ouattara and Frédéric Bako and Abdoulaye Sanou and Elie Dibloni Nassoum and Arsène Tossou and Rasmané Beogo and Patrick Wendpouiré Hamed Dakouré},
      title = {400 Gramme on Skull Base and Face: Complete Removal and Reconstruction
    },
      journal = {International Journal of Neurosurgery},
      volume = {8},
      number = {1},
      pages = {16-21},
      doi = {10.11648/j.ijn.20240801.13},
      url = {https://doi.org/10.11648/j.ijn.20240801.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijn.20240801.13},
      abstract = {Background: Huge craniofacial tumors represent a surgical challenge not only for high risk of intraoperative damage of the brain and sense organs of the face, but also for esthetical issues which may occur postoperatively. This surgery is riskier when these processes are represented by massive compact bone such as osteomas. Case presentation: A young patient with huge disfiguring osteoma of anterior skull base extended to sphenoidal, frontal, maxillary sinuses as well as in orbits benefit for a complete removal with craniofacial reconstruction through a surgical teamwork including neurosurgeon, maxillofacial surgeon and ophthalmologist; with an overt satisfactory cosmetic result. Preoperative planning is reported as well as the intraoperative procedure and the postoperative reconstruction and follow up. Conclusion: Craniofacial osteoma represents a surgical and cometic challenge for their resection. This resection is tailored through sophisticated devices such as preoperative 3D (3 dimension) printed model, intraoperative neuronavigation, and the use on custom-made bone. In place where this reported patient is managed, these tools are unavailable. Thus, priority should be given to teamwork with accurate preoperative planning and manually confectioned cranioplasty. Endoscopic approach for these processes gained more and more indication in the resection of these craniofacial and skull base osteomas. Since this device require a learning curve, laboratory training for is proper using as well as in microneurosurgery techniques is highly recommended. A hope is encountered though the humanitarian implication of some organization and universities.
    },
     year = {2024}
    }
    

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  • TY  - JOUR
    T1  - 400 Gramme on Skull Base and Face: Complete Removal and Reconstruction
    
    AU  - Ibrahim Dao
    AU  - Ibrahima Traoré
    AU  - Michel Kohoun
    AU  - Astride Somda
    AU  - Salah Sow
    AU  - Nasser Doukouré
    AU  - Narcisse Ouedraogo
    AU  - Ousmane Ouattara
    AU  - Frédéric Bako
    AU  - Abdoulaye Sanou
    AU  - Elie Dibloni Nassoum
    AU  - Arsène Tossou
    AU  - Rasmané Beogo
    AU  - Patrick Wendpouiré Hamed Dakouré
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    PY  - 2024
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    DO  - 10.11648/j.ijn.20240801.13
    T2  - International Journal of Neurosurgery
    JF  - International Journal of Neurosurgery
    JO  - International Journal of Neurosurgery
    SP  - 16
    EP  - 21
    PB  - Science Publishing Group
    SN  - 2640-1959
    UR  - https://doi.org/10.11648/j.ijn.20240801.13
    AB  - Background: Huge craniofacial tumors represent a surgical challenge not only for high risk of intraoperative damage of the brain and sense organs of the face, but also for esthetical issues which may occur postoperatively. This surgery is riskier when these processes are represented by massive compact bone such as osteomas. Case presentation: A young patient with huge disfiguring osteoma of anterior skull base extended to sphenoidal, frontal, maxillary sinuses as well as in orbits benefit for a complete removal with craniofacial reconstruction through a surgical teamwork including neurosurgeon, maxillofacial surgeon and ophthalmologist; with an overt satisfactory cosmetic result. Preoperative planning is reported as well as the intraoperative procedure and the postoperative reconstruction and follow up. Conclusion: Craniofacial osteoma represents a surgical and cometic challenge for their resection. This resection is tailored through sophisticated devices such as preoperative 3D (3 dimension) printed model, intraoperative neuronavigation, and the use on custom-made bone. In place where this reported patient is managed, these tools are unavailable. Thus, priority should be given to teamwork with accurate preoperative planning and manually confectioned cranioplasty. Endoscopic approach for these processes gained more and more indication in the resection of these craniofacial and skull base osteomas. Since this device require a learning curve, laboratory training for is proper using as well as in microneurosurgery techniques is highly recommended. A hope is encountered though the humanitarian implication of some organization and universities.
    
    VL  - 8
    IS  - 1
    ER  - 

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Author Information
  • Department of Orthopedic Surgery, University Hospital Souro Sanou, Bobo Dioulasso, Burkina Faso; Higher Institute of Health Sciences, Nazi Boni University, Bobo Dioulasso, Burkina Faso; Department Surgery, Military Hospital Colonel Major Tanguet Ouattara, Bobo Dioulasso, Burkina Faso

  • Department of Stomatology and Maxillofacial Surgery, University Hospital Souro Sanou, Bobo Dioulasso, Burkina Faso

  • Department of Stomatology and Maxillofacial Surgery, University Hospital Souro Sanou, Bobo Dioulasso, Burkina Faso

  • Department of Neurosurgery, University Hospital Yalgado Ouedraogo, Joseph Ki-Zerbo University, Ouagadougou, Burkina Faso

  • Department of Radiology and Medical Imaging, University Hospital Yalgado Ouedraogo, Joseph Ki-Zerbo University, Ouagadougou, Burkina Faso

  • Department of Ophthalmology, University Hospital Souro Sanou, Bobo Dioulasso, Burkina Faso

  • Department of Orthopedic Surgery, University Hospital Souro Sanou, Bobo Dioulasso, Burkina Faso

  • Department of Orthopedic Surgery, University Hospital Souro Sanou, Bobo Dioulasso, Burkina Faso

  • Department of Orthopedic Surgery, University Hospital Souro Sanou, Bobo Dioulasso, Burkina Faso

  • Department of Neurosurgery, University Hospital Yalgado Ouedraogo, Joseph Ki-Zerbo University, Ouagadougou, Burkina Faso; Department of Neurosurgery, Military Hospital Capitaine Halassane Coulibaly, Ouagadougou, Burkina Faso

  • Department of Neurosurgery, University Hospital Yalgado Ouedraogo, Joseph Ki-Zerbo University, Ouagadougou, Burkina Faso; Department of Neurosurgery, Military Hospital Capitaine Halassane Coulibaly, Ouagadougou, Burkina Faso

  • Department of Neurosurgery, University Hospital Yalgado Ouedraogo, Joseph Ki-Zerbo University, Ouagadougou, Burkina Faso; Department of Neurosurgery, Military Hospital Capitaine Halassane Coulibaly, Ouagadougou, Burkina Faso

  • Department of Stomatology and Maxillofacial Surgery, University Hospital Souro Sanou, Bobo Dioulasso, Burkina Faso

  • Department of Orthopedic Surgery, University Hospital Souro Sanou, Bobo Dioulasso, Burkina Faso; Higher Institute of Health Sciences, Nazi Boni University, Bobo Dioulasso, Burkina Faso

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