Özet:

To report a case of recurrent extracranial meningotelial meningioma successfully managed by a multidisciplinary team. Case report concerning successful management of recurrent extracranial meningioma based on pathology and extent of resection. A 81-year-old man who presented with a right nasal mass,postnasal drip,bilateral nasal obstruction and right epiphora. Physical exam and imaging showed recurrent meningioma involving the entire right anterior and posterior ethmoid complexes extending into the nasopharynx and down into the right nasal cavity via the anterior ethmoid.The mass was above the cribriform plate with a 3 cm size.The large mass filling the right ethmoid complex and the right nasal cavity hang outside the sinonasal cavity extending into the right orbital medial wall of the orbit and destructed it. The posterior wall of the nasopharynx and both pterygopalatine fossa were not attached by the mass..The intranasal,nasopharyngeal and oropharyngeal portions of the tumor were resected completely via an endoscopic endonasal approach.The frontal lobe portion of the tumor was intentionally left because of the patients consent wasn’t taken. This is a very rare presentation of meningioma that the ENT surgeon should consider when formulating a differential diagnosis for a nasal mass. The clinical and radiographic features of these uncommon lesions are nonspecific, hence, a precise diagnosis requires histologic evaluation.

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