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. 1997;7(3):115–121. doi: 10.1055/s-2008-1058602

Lesions Confined to the Sphenoid Ridge

Differential Diagnosis and Surgical Treatment

Gerardo Guinto, Jhon Abello, Ignacio Félix, José González, Alejandro Oviedo
PMCID: PMC1656630  PMID: 17171020

Abstract

Tumors confined to the sphenoid ridge with little or no extradiploic extension are very rare; we describe here five patients with these lesions. Three were females and two males, with an average age of 33.4 years; the clinical presentation included proptosis and facial deformity. The diagnoses were three meningiomas (one “en plaque,” one globous, and one intraosseous) and two fibrous dysplasias (compact form). Although the radiological findings were similar, we could find some details to establish the differential diagnosis before the surgical procedure. All the lesions were totally removed without complications. In a follow-up period of 15 to 36 months none of the lesions has shown clinical or radiological evidence of recurrence. We discuss the pathophysiology of each case, and propose the pterional orbito-zygomatic approach as the best way to resect lesions in this location.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

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