ABSTRACT
A 60 year-old female presented to our clinic with a two-year history of progressive nasal obstruction and one isolated episode of epistaxis that did not respond to medical treatment. Endoscopic evaluation revealed roundish, dumbbell-shape, smooth-surfaced, submucosal mass with prominent vessels of approximately 2 cm in the posterior nasal septum,. A paranasal CT scan revealed a well-circumscribed oval shape mass (1.7 cm x 1.6 x 1.5 cm) arising from the posterior border of the bony nasal septum. The tumor was removed en-bloc with 1-centimeter free margins confirmed by intra-operative frozen sections through a completely endoscopic approach. Pathology results confirmed the diagnosis of a pleomorphic adenoma.
Subject(s)
Adenoma, Pleomorphic/surgery , Endoscopy/methods , Nasal Septum/surgery , Nose Neoplasms/surgery , Adenoma, Pleomorphic/diagnostic imaging , Adenoma, Pleomorphic/pathology , Female , Frozen Sections , Humans , Magnetic Resonance Imaging , Middle Aged , Nasal Septum/diagnostic imaging , Nasal Septum/pathology , Nose Neoplasms/diagnostic imaging , Nose Neoplasms/pathology , Tomography, X-Ray ComputedABSTRACT
A 9 year-old male sustained multiple maxillofacial fractures after falling from a two-store building. Frontal sinuses suffered a bilateral non-displaced linear fractures extending into the anterior and posterior walls. Magnetic resonance imaging (MRI) at this time showed a small encephalocele extending into the right frontal sinus. Operative repair was performed using an Endoscopic-Assisted Trephination approach.
