Cerný L
ORL oddĕlení KNsP, Ostrava.
Cesk Otolaryngol. 1990 Nov;39(6):338-42.
The author describes rare chondromas of the paranasal sinuses in two female patients. In a younger woman a third relapse of chondroma in the olfactory labyrinth on the left was involved where the disease persisted for 31 years. The tumour spread to the orbit and intracranium and was therefore removed by frontal craniotomy. In the older patient the tumour grew cca 15 years. It blocked both nasal apertures and spread to all paranasal sinuses and the nasopharynx. It was removed from both sides, using the approach from right-sided lateral rhinotomy. It was not possible to locate exactly the site of origin in either patient. The tumours were benign and in the first case grew from the borderline between the ethmoid bone and the upper jaw. In the second patient most probably from the basophenoidal area. The author draws attention on the uncertain biological nature of chondromas at this site and the importance of total resection of the tumour during the first operation for the prognosis of the disease.
作者描述了两名女性患者中罕见的鼻窦软骨瘤。在一名较年轻的女性中，左侧嗅迷路的软骨瘤第三次复发，疾病持续了31年。肿瘤扩散至眼眶和颅内，因此通过额部开颅手术切除。在年长患者中，肿瘤生长了约15年。它阻塞了双侧鼻孔，并扩散至所有鼻窦和鼻咽部。通过右侧鼻侧切开术从双侧切除肿瘤。在两名患者中均无法准确定位肿瘤的起源部位。肿瘤均为良性，在第一例中起源于筛骨和上颌骨之间的边界。在第二例患者中，最可能起源于蝶骨底部区域。作者提请注意该部位软骨瘤不确定的生物学性质，以及首次手术时肿瘤全切对疾病预后的重要性。
