Sahemey R, Warfield A T, Ahmed S
ENT-University Hospitals Birmingham NHS Foundation Trust, Queen Elizabeth Hospital Birmingham, Birmingham, UK
Pathology-University Hospitals Birmingham NHS Foundation Trust, Queen Elizabeth Hospital Birmingham, Birmingham, UK.
J Surg Case Rep. 2016 Aug 17;2016(8):rjw135. doi: 10.1093/jscr/rjw135.
Osteomas are the most common benign osteoclastic tumours of the paranasal sinuses. However, nasal cavity and turbinate osteomas are extremely rare. Only nine middle turbinate, three inferior turbinate and one inferior turbinate osteoma cases have been reported to date. The present case report describes the management and follow-up of symptomatic bilateral inferior turbinate osteoma.A 60-year-old female presented with symptoms of bilateral nasal obstruction and right-sided epiphora. Radiological investigation found hypertrophic bony changes involving both inferior turbinates. The patient was managed successfully by endoscopic inferior turbinectomies in order to achieve a patent airway, with no further recurrence of tumour after 3 months postoperatively.To the best of our knowledge, this is the first reported case of bilateral inferior turbinate osteoma. We describe a safe and minimally invasive method of tumour resection, which has a better cosmetic outcome compared with other approaches.
骨瘤是鼻窦最常见的良性破骨细胞瘤。然而,鼻腔和鼻甲骨瘤极为罕见。迄今为止,仅报道过9例中鼻甲、3例下鼻甲和1例下鼻甲骨瘤病例。本病例报告描述了有症状的双侧下鼻甲骨瘤的治疗及随访情况。一名60岁女性,出现双侧鼻塞及右侧泪溢症状。影像学检查发现双侧下鼻甲有骨质增生改变。为实现气道通畅,患者成功接受了内镜下下鼻甲切除术,术后3个月肿瘤未再复发。据我们所知,这是首例双侧下鼻甲骨瘤的报道病例。我们描述了一种安全且微创的肿瘤切除方法,与其他方法相比,其美容效果更佳。