Olfactory groove meningiomas – surgical treatment, surgical risks and sense of smell preservation

Czech version

Authors: M. Dedeciusová ¹; M. Májovský ¹; P. Fundová ²; V. Beneš ¹; D. Netuka ¹
Authors‘ workplace: Neurochirurgická a neuroonkologická klinika 1. LF UK a ÚVN Praha ¹; Klinika otorhinolaryngologie a maxilofaciální chirurgie 3. LF UK a ÚVN Praha ²
Published in: Cesk Slov Neurol N 2018; 81(1): 11-16
Category: Review Article
doi: https://doi.org/10.14735/amcsnn201811

Overview

This review summarizes dysfunction of olfaction in patients with olfactory groove meningiomas (OGM). Clinical examination, including pre-operative and post-operative assessment of olfaction, is indispensable for the evaluation of the surgical outcome in patients with OGM. Review of a recent series of OGM documents showed a lack of the olfaction assessment in most of the studies. Psychophysical tests determining olfactory detection, discrimination and identification (e. g. University of Pennsylvania Smell Identification Test [UPSIT], The Single Staircase Odor Detection Threshold Test, Siffin’ Sticks Test) should be used to reveal olfactory dysfunction. Specialized examination techniques such as electro-olfactogram, olfactory evoked potentials and functional magnetic resonance imaging are being used in research. Standard treatment of OGM is a surgical resection. Controversy exists among the authors regarding the selection of a convenient surgical approach. Commonly, the uni-frontal and pterional approaches are being performed. Endoscopic resection, olfactory groove meningiomas, represents an alternative approach yet its indications are still limited. Postoperative olfaction preservation remains a difficult task even today.

Key words:
olfactory groove meningioma – skull base – olfaction – olfactory nerve

The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.

The Editorial Board declares that the manuscript met the ICMJE “uniform requirements” for biomedical papers.

Sources

1. Abbassy M, Woodard TD, Sindwani R et al. An overview of anterior skull base meningiomas and the endoscopic endonasal approach. Otolaryngol Clin North Am 2016; 49(1): 141–152. doi: 10.1016/ j.otc.2015.08.002.

2. Bitter AD, Stavrinou LC, Ntoulias G et al. The role of the pterional approach in the surgical treatment of olfactory groove meningiomas: a 20-year experience. J Neurol Surg B Skull Base 2013; 74(2): 97–102. doi: 10.1055/ s-0033-1333618.

3. Romani R, Lehecka M, Gaal E et al. Lateral supraorbital approach applied to olfactory groove meningiomas: experience with 66 consecutive patients. Neurosurgery 2009; 65(1): 39–52. doi: 10.1227/ 01.NEU.0000346266.69493.88.

4. Durante F. Estirpazione di un tumore endocranico. Arch Atti Social Chir 1886; 2: 252–255.

5. Cushing H, Eisenhardt TL. The olfactory groove meningiomas with primary anosmia. In: Cushing H, Eisenhardt TL (eds). Meningiomas. Springfield: Charles C. Thomas 1938. 250–282.

6. Sameš M, Vachata P, Zolal A et al. Chirurgie baze lební (uvnitř minimonografie video). Cesk Slov Neurol N 2013; 76/ 109(4): 402–424.

7. Netuka D, Masopust V, Belšan T et al. Endoskopické endonazální operace meningeomů baze lební. Cesk Slov Neurol N 2013; 76/ 109(4): 446–452.

8. Toller SV. Assessing the impact of anosmia: review of a questionnaire‘s findings. Chem Senses 1999; 24(6): 705–712.

9. Komotar RJ, Starke RM, Raper DM et al. Endoscopic endonasal versus open transcranial resection of anterior midline skull base meningiomas. World Neurosurg 2012; 77(5–6): 713–724. doi: 10.1016/ j.wneu.2011.08.025.

10. Hentschel SJ, DeMonte F. Olfactory groove meningiomas. Neurosurg Focus 2003; 14(6): e4.

11. Fox D, Khurana VG, Spetzler RF. Olfactory groove/ planum sphenoidale meningiomas. In: Lee JH (ed). Meningiomas: diagnosis, treatment, and outcome. London: Springer 2008.

12. Rosen CL, Ammerman JM, Sekhar LN et al. Outcome analysis of preoperative embolization in cranial base surgery. Acta Neurochir (Wien) 2002; 144(11): 1157–1164.

13. Bassiouni H, Asgari S, Stolke D. Olfactory groove meningiomas: functional outcome in a series treated microsurgically. Acta Neurochir (Wien) 2007; 149(2): 109–121.

14. Gazzeri R, Galarza M, Gazzeri G. Giant olfactory groove meningioma: ophthalmological and cognitive outcome after bifrontal microsurgical approach. Acta Neurochir (Wien) 2008; 150(11): 1117–1125. doi: 10.1007/ s00701-008-0142-z.

15. Spektor S, Valarezo J, Fliss DM et al. Olfactory groove meningiomas from neurosurgical and ear, nose, and throat perspectives: approaches, techniques, and outcomes. Neurosurgery 2005; 57 (4 Suppl): 268–280.

16. Nakamura M, Struck M, Roser F et al. Olfactory groove meningiomas: clinical outcome and recurrence rates after tumor removal through the frontolateral and bifrontal approach. Neurosurgery 2007; 60(5): 844–852.

17. Magerová H, Laczó J, Vyhnálek M et al. Vyšetření čichu a jeho význam pro diagnostiku neurodegenerativních onemocnění. Neurol Praxi 2008; 9(1): 30–32.

18. Doty RL. Office procedures for quantitative assessment of olfactory function. Am J Rhinol 2007; 21(4): 460–473.

19. Smith DV. Assessment of patients with taste and smell disorders. Acta Otolaryngol (Suppl) 1988; 458: 129–133.

20. Schaller C, Rohde V, Hassler W. Microsurgical removal of olfactory groove meningiomas via the pterional approach. Skull Base Surg 1994; 4(4): 189–192.

21. Turazzi S, Cristofori L, Gambin R et al. The pterional approach for the microsurgical removal of olfactory groove meningiomas. Neurosurgery 1999; 45(4): 821–825.

22. Pallini R, Fernandez E, Lauretti L et al. Olfactory groove meningioma: report of 99 cases surgicallytreated at the Catholic University School of Medicine, Rome. World Neurosurg 2015; 83(2): 219–231. doi: 10.1016/ j.wneu.2014.11.001.

23. Guduk M, Yener U, Sun HI et al. Pterional and unifrontal approach for the microsurgical resection of olfactory groove meningiomas: experience with a series of 61 consecutive patients. Turk Neurosurg 2017; 27(5): 707–715. doi: 10.5137/ 1019-5149.JTN.17154-16.1.

24. Ciurea AV, Iencean SM, Rizea RE et al. Olfactory groove meningiomas: a retrospective study on 59 surgical cases. Neurosurg Rev 2012; 35(2): 195–202. doi: 10.1007/ s10143-011-0353-2.

25. Jang WY, Jung S, Jung TY et al. Preservation of olfaction in surgery of olfactory groove meningiomas. Clin Neurol Neurosurg 2013; 115(8): 1288–1292. doi: 10.1016/ j.clineuro.2012.12.004.

26. Welge-Luessen A, Temmel A, Quint C et al. Olfactory function in patients with olfactory groove meningioma. J Neurol Neurosurg Psychiatry 2001; 70(2): 218–221.

27. Allison T, Goff WR. Human cerebral evoked responses to odorous stimuli. Electroencephalogr Clin Neurophysiol 1967; 23(6): 558–560.

28. Kobal G, Hummel C. Cerebral chemosensory evoked potentials elicited by chemical stimulation of the human olfactory and respiratory nasal mucosa. Electroencephalogr Clin Neurophysiol 1988; 71(4): 241–250.

29. Sato M, Kodama N, Sasaki T et al. Olfactory evoked potentials: experimental and clinical studies. J Neurosurg 1996; 85(6): 1122–1126.

30. Thirumala PD, Habeych ME, Crammond DJ et al. Neurophysiologic intraoperative monitoring of olfactory and optic nerves. J Clin Neurophysiol 2011; 28(6): 538–542. doi: 10.1097/ WNP.0b013e31823e954e.

31. Lapid H, Hummel T. Recording odor-evoked response potentials at the human olfactory epithelium. Chem Senses 2013; 38(1): 3–17. doi: 10.1093/ chemse/ bjs073.

32. Fournel A, Ferdenzi C, Sezille C et al. Multidimensional representation of odors in the human olfactory cortex. Hum Brain Mapp 2016; 37(6): 2161–2172. doi: 10.1002/ hbm.23164.

33. Berlin HA, Stern ER, Ng J et al. Altered olfactory processing and increased insula activity in patients with obsessive-compulsive disorder: an fMRI study. Psychiatry Res 2017; 262: 15–24. doi: 10.1016/ j.pscychresns.2017.01.012.

34. Yasargil MG. Microneurosurgery I. Stuttgart: Georg Thieme Verlag 1984.

35. Olivecrona H, Urban H. Über Meningeome der Siebbeinplatte. Brun‘s Beitr Klin Chir 1935; 161: 224–253.

36. Dandy WE. Hirnchirurgie. Leipzig: Johann Ambrosius Barth 1938.

37. Tonnis W. Zur Operation der Meningeome der Siebbeinplatte. Zentralbl Neurochir 1938; 1: 1–7.

38. Morley TP. Tumors of the cranial meninges. In: Youmans JR (ed). Neurological surgery: a comprehensive reference guide to the diagnosis and management of neurosurgical problems. Philadelphia: Saunders 1973.

39. MacCarty CS, Piepgras DG, Ebersold MJ. Meningeal tumors of the brain. In: Youmans JR (ed). Neurological surgery: a comprehensive reference guide to the diagnosis and management of neurosurgical problems. Philadelphia: Saunders 1982.

40. Ojemann RG. Meningiomas: clinical features and surgical management. In: Wilkins RH, Rengachary SS (eds). Neurosurgery. New York: McGraw-Hil 1985.

41. Adappa ND , Lee JY, Chiu AG et al. Olfactory groove meningioma. Otolaryngol Clin North Am 2011; 44(4): 965–980.

42. Liu JK, Christiano LD, Patel SK et al. Surgical nuances for removal of olfactory groove meningiomas using the endoscopic endonasal transcribriform approach. Neurosurg Focus 2011; 30(5): E3. doi: 10.3171/ 2011.2.FOCUS 116.

43. Tsikoudas A, Martin-Hirsch DP. Olfactory groove meningiomas. Clin Otolaryngol Allied Sci 1999; 24(6): 507–509.

44. Mielke D, Mayfrank L, Psychogios MN et al. The anterior interhemispheric approach: a safe and effective approach to anterior skull base lesions. Acta Neurochir (Wien) 2014; 156(4): 689–696. doi: 10.1007/ s00701-013-1972-x.

45. Obeid F, Al-Mefty O. Recurrence of olfactory groove meningiomas. Neurosurgery 2003; 53(3): 534–542.

46. Knopp U, Sepehrnia A. Preservation of olfaction in bifrontal craniotomies for lesions of the anterior and middle cranial fossa. Laryngorhinootologie 2005; 84(5): 319–322.

47. Schroeder HW. Indications and limitations of the endoscopic endonasal approach for anterior cranial base meningiomas. World Neurosurg 2014; 82 (6 Suppl): S81–S85. doi: 10.1016/ j.wneu.2014.07.030.

48. Liu JK, Hattar E, Eloy JA. Endoscopic endonasal approach for olfactory groove meningiomas: operative technique and nuances. Neurosurg Clin N Am 2015; 26(3): 377–388. doi: 10.1016/ j.nec.2015.03.009.

49. de Almeida JR, Snyderman CH, Gardner PA et al. Nasal morbidity following endoscopic skull base surgery: a prospective cohort study. Head Neck 2011; 33(4): 547–551. doi: 10.1002/ hed.21483.

50. Koutourousiou M, Fernandez-Miranda JC, Wang EWet al. Endoscopic endonasal surgery for olfactory groove meningiomas: outcomes and limitations in 50 patients. Neurosurg Focus 2014; 37(4): E8.

51. Shin M, Kondo K, Saito N. Current status of endoscopic endonasal surgery for skull base meningiomas: review of the literature. Neurol Med Chir (Tokyo) 2015; 55(9): 735–743.

52. Flickinger JC, Kondziolka D, Maitz AH et al. Gamma knife radiosurgery of imaging-diagnosed intracranial meningioma. Int J Radiat Oncol Biol Phys 2003; 56(3): 801–806.

53. Lomax NJ, Scheib SG. Quantifying the degree of conformity in radiosurgery treatment planning. Int J Radiat Oncol Biol Phys 2003; 55(5): 1409–1419.

54. Youssef AS, Sampath R, Freeman JL et al. Unilateral endonasal transcribriform approach with septal transposition for olfactory groove meningioma: can olfaction be preserved? Acta Neurochir (Wien) 2016; 158(10): 1965–1972. doi: 10.1007/ s00701-016-2922-1.

55. Herz RS, Eliassen J, Beland S et al. Neuroimaging evidence for the emotional potency of odor-evoked memory. Neuropsychologia 2004; 42(3): 371–378.

55. Moberg PJ, Agrin R, Gur RE et al. Olfactory dysfunction in schizophrenia: a qualitative and quantitative review. Neuropsychopharmacology 1999; 21(3): 325–340.

57. Passagia JG, Chirossel JP, Favre JJ et al. Surgical approaches to the anterior fossa, and preservation of olfaction. Adv Tech Stand Neurosurg 1999; 25: 195–241.

58. Mirimanoff RO, Dosoretz DE, Linggood RM et al. Meningioma: analysis of recurrence and progression following neurosurgical resection. J Neurosurg 1985; 62(1): 18–24.

59. Maiuri F, Salzano FA, Motta S et al. Olfactory groove meningioma with paranasal sinus and nasal cavity extension: removal by combined subfrontal and nasal approach. J Craniomaxillofac Surg 1998; 26(5): 314–317.

60. Cardali S, Romano A, Angileri FF et al. Microsurgical anatomic features of the olfactory nerve: relevance to olfaction preservation in the pterional approach. Neurosurgery 2005; 57 (1 Suppl): 17–21.