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Giant nasofrontal meningioma: endoscopic and transcranial approach followed by microvascularized vastus laterallis flap reconstruction

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Abstract

A 12-year-old girl presented with headache, nasal voice, and anosmia. Magnetic resonance imaging demonstrated a 11 × 9 × 8-cm tumor extending from the nasal cavity to the frontal lobes. Histological analysis was consistent with transitional meningioma WHO grade I. As far as we know, this is the first reported case of a giant olfactory groove meningioma invading the nasal cavity through the anterior cranial base. Complete surgical removal was accomplished with excellent result via a staged endoscopic and transcranial approach. A microvascularized vastus laterallis flap was used for reconstruction. Surgical options and technical details in the management of this lesion are reviewed.

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Authors and Affiliations

  1. Department of Neurosurgery, Hospital La Fe, Avda Fernando Abril, 106 46010, Martorell, Valencia, Spain

    Pablo Miranda, Juan Antonio Simal, Estela Plaza & Laila Pérez de Sanroman

  2. Department of Plastic Surgery, Hospital La Fe, Valencia, Spain

    Alberto Pérez & Alessandro Thione

Authors
  1. Pablo Miranda
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  2. Juan Antonio Simal
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  3. Estela Plaza
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  4. Laila Pérez de Sanroman
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  5. Alberto Pérez
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  6. Alessandro Thione
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Correspondence to Pablo Miranda.

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The authors declare that they have no conflict of interest

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All procedures performed in studies involving human participants were in accordance with the ethical standards of Hospital La Fe (Comité de evaluación de estudios clínicos EEC 2020-26) and with the 1964 Helsinki declaration and its later amendments

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Informed consent was obtained from the patient and her parents.

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Miranda, P., Simal, J.A., Plaza, E. et al. Giant nasofrontal meningioma: endoscopic and transcranial approach followed by microvascularized vastus laterallis flap reconstruction. Childs Nerv Syst 36, 3115–3118 (2020). https://doi.org/10.1007/s00381-020-04684-6

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  • DOI: https://doi.org/10.1007/s00381-020-04684-6

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