scholarly journals Resection of Huge Nasal Septal Chondroma Via Endoscopic Septoplasty Approach Through Modified Killian Incision

2021 ◽  
pp. 014556132110264
Author(s):  
Hyun-Ho Kwak ◽  
Ji-Hwan Park ◽  
Sung-Dong Kim ◽  
Kyu-Sup Cho

Chondromas are benign cartilaginous tumors that frequently occur in the long bones, pelvis, sternum, ribs, and scapula. They seldom develop in the head and neck region, and there have been rare reports of them arising in the nasal septum. Although the mainstay of management is surgery, surgical treatment strategies vary depending on the size, location, and extent of the disease. Herein, we describe a case of huge chondroma originated from the anterior nasal septum, which was completely removed by endoscopic septoplasty approach thorough modified Killian incision.

2016 ◽  
Vol 9 (2) ◽  
pp. 94-97
Author(s):  
Arpit Sharma ◽  
JP Dabholkar ◽  
Shruti Bansal

ABSTRACT Introduction Maffucci syndrome is a congenital nonhereditary disorder in which patients develop multiple enchondromas and cutaneous, visceral, or soft tissue hemangiomas. Less than 200 cases of Maffucci syndrome have been published in the English literature. These lesions most commonly occur in the limb bones, especially in the hands and feet. Rarely, patients of Maffucci syndrome may present with mesodermal dysplasia involving head and neck region with nasal septum enchondromas reported only in two cases till now. Aim To report a rare case of nasal enchondroma in a patient of Maffucci syndrome. Case description A 15-year-old girl diagnosed with Maffucci syndrome 2 years back was referred to our ENT department with symptoms of left-sided nasal obstruction and epiphora. On thorough clinical examination and proper investigation, she was diagnosed to have nasal enchondroma. She successfully underwent endonasal endoscopic resection of nasal enchondroma. Conclusion Maffucci syndrome is a rare entity characterized by multiple enchondromas and hemangiomas, especially in the extremities. A manifestation in the head and neck region is rare and cartilaginous tumors of nasal septum are even rarer; however, differential of nasal cartilaginous tumors should be borne in mind in patients with underlying mesodermal dysplastic disorders like Maffucci syndrome. Clinical significance Patients of Maffucci syndrome with enchondromas are at high risk of undergoing malignant transformation, especially chondrosarcomas. These patients need vigilant and close follow-up. Despite their rarity, chondromas should be taken into consideration in the differential diagnosis of nasal tumors, especially those arising from the nasal septum. How to cite this article Bansal S, Sharma A, Dabholkar JP. Maffucci Syndrome with Nasal Enchondroma: A Rare Entity. Clin Rhinol An Int J 2016;9(2):94-97.


2020 ◽  
Author(s):  
Yao Xu ◽  
Guijun Xu ◽  
Xin Wang ◽  
Min Mao ◽  
Haixiao Wu ◽  
...  

Abstract Background: Low-grade myofibroblastic sarcoma (LGMS) is a rare entity with a predilection in the head and neck. There are still no optimal treatment strategies for LGMS. We aimed to investigate the role of chemotherapy and radiation treatment for LGMS. Survival estimate was performed and prognostic factors were identified.Methods: Based on the Surveillance, Epidemiology, and End Result (SEER) database, LGMS patients diagnosed between 2001 and 2015 were involved in our study. Kaplan-Meier curves and log-rank tests were used to estimate overall survival. Cox proportional hazard regression model was performed to identify prognostic factors.Results: A total of 96 eligible patients with LGMS were included, among which 86 (89.6%) received surgical treatment. Twenty-eight (29.2%) patients received radiation treatment while chemotherapy was offered to 20 (10.4%) patients. The median age was 55.0 years old with 22 cases occurred in head and neck region. The mean OS was 125.2 (95%CI 106.3-144.2) months while 1-, 3-, 5- and 10-year OS rates were 88%, 77%, 70% and 59%, respectively. Age older than 60 years, positive nodal status and no surgical treatment were independent prognostic factors for patients with LGMS. Chemotherapy and radiation were not independent prognostic factors for LGMS.Conclusions: Several prognostic factors for LGMS were revealed in this study. Surgical resection is the main therapy while chemotherapy and radiation showed limited effects on survival improvement. Thus, chemotherapy and/or radiation should not be routinely performed in LGMS.


1995 ◽  
Vol 9 (1) ◽  
pp. 37-42
Author(s):  
Marc M. Kerner ◽  
Marilene B. Wang ◽  
Frank DiGregorio ◽  
Marilyn Zimmerman

Primary chondrosarcomas of the head and neck region are exceedingly rare neoplasms. These lesions have clinical and histologic characteristics that make them difficult to discern from benign chondromas. Additionally, they may arise from the periosteum, making it even more difficult to distinguish them from osteosarcomas. We present a patient with a periosteal chondrosarcoma of the maxilla. Characteristic radiologic and histologic findings associated with this lesion are described. This is the first reported case of such a lesion in the maxilla, as previous reports of periosteal chondrosarcomas have involved long bones. The diagnostic dilemma posed by this extremely unusual lesion is discussed, as well as treatment options.


2015 ◽  
Vol 24 (1) ◽  
pp. 99-103
Author(s):  
Peng Li ◽  
Sun Liyan ◽  
Xu Zhang ◽  
Rui-Hua Luo ◽  
Jin-Xing Qi ◽  
...  

1992 ◽  
Vol 2 ◽  
pp. 123-127
Author(s):  
Hajime Mizukoshi ◽  
Hiroshi Okamura ◽  
Eiji Yumoto ◽  
Masamitsu Hyodo

2011 ◽  
Vol 4 (1) ◽  
pp. 43-46 ◽  
Author(s):  
Parvinderjit Singh Kohli ◽  
Kanu Goel

ABSTRACT Neurogenic tumors form a very small percentage of all neoplastic lesions of the head and neck region. However, the head and neck region is by far the most common location for benign peripheral neural tumors. Several cases involving the nasal cavity and paranasal sinuses have been sporadically documented throughout the medical literature. We present a rare case of a solitary neurofibroma arising from the posterior nasal septum of a 37-year-old woman. En bloc surgical resection of the mass was achieved by endoscopic approach. This case highlights the importance of considering this clinical entity in the differential diagnosis when encountering a unilateral soft tissue mass in the nasal cavity and use of endoscopic technique in the management of such tumors. Abbreviations Contrast enhanced computed tomography (CECT), Magnetic resonance imaging (MRI).


2002 ◽  
Vol 92 (3) ◽  
pp. 155-157 ◽  
Author(s):  
Joseph A. Cione ◽  
John Cozzarelli

Capillary hemangiomas are benign, vascular lesions of skin and mucous membranes that often occur in infancy and childhood. Capillary hemangiomas are most commonly found in the head and neck region. Capillary hemangiomas that occur in adults and on the lower extremities are uncommon. A clinical case involving surgical treatment of the lesion on an adult foot is presented. (J Am Podiatr Med Assoc 92(3): 155-157, 2002)


Neurotrauma ◽  
2019 ◽  
pp. 113-120
Author(s):  
Aaron R. Plitt ◽  
Benjamin Kafka ◽  
Tarek Y. El Ahmadieh ◽  
Christopher J. Madden

Orbital and ocular trauma occurs in 10–17% of all cases of trauma. There should be a high suspicion for orbital injury in patients with blunt trauma to the head and neck region, especially in the setting of periorbital ecchymosis. CT of the face should be performed to assess for fractures. Signs of globe rupture or entrapment of an extraocular muscle are indications for emergent surgical treatment. In the absence of those signs, surgery can be delayed to allow for resolution of edema. Surgical indications are primarily cosmetic. After an orbital fracture is diagnosed, the patient should be monitored with serial ophthalmologic exams to assess for cosmetic deformity, visual decline, or diplopia. The most common symptom after surgical repair of a fracture is diplopia, which often resolves with time. Overall, in the absence of emergent signs (i.e., globe rupture and entrapment), orbital trauma should be treated symptomatically with surgical intervention for cosmesis.


2021 ◽  
Vol 100 (3) ◽  
pp. 141-146
Author(s):  
R.S. Oganesyan ◽  
◽  
N.S. Grachev ◽  
◽  

The variety of forms and localizations of lymphatic malformations (LMs) in the head and neck region determine the lack of unified approach to the treatment of this pathology. The surgical approach is divided into minimally invasive sclerotherapy technique, used mainly for macrocystic forms of LM, and classical surgery, which includes a wide range of surgical interventions on organs and structures of the head and neck. A combination of these two methods and planning of surgical staging are the key to success in the treatment of mixed forms of LMs and malformations of complex localizations with extensive distribution.


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