This patient presented with a painless right forehead swelling of one month's duration, attributed to recent trauma
Axial CT scan shows a lytic lesion of the frontal bone, on the right.
BICORNAL BIFRONTAL FLAP APPROACH
The mass was approached via a bifrontal bicoronal flap approach . A square of periosteum was elevated and removed in continuity with the tumor. The tumor had eroded into the anterior cranial fossa, exposing the dura.
CRANIOPLASTY WITH BONESOURCE
A metal plate was placed over the dural defect and secured with screws. The defect was obliterated with BoneSource..
The picture on the left was taken 2 weeks post-operatively.
The histologic examination revealed a large B-Cell lymphoma.