Karpishchenko S A, Bolozneva E V, Vereshchagina O E, Faizova A R, Karpishchenko E S, Askarov M A
Saint-Petersburg Research Institute of Ear, Throat, Nose and Speech, Saint-Petersburg, Russia.
Pavlov First Saint Petersburg State Medical University, Saint-Petersburg, Russia.
Vestn Otorinolaringol. 2020;85(6):111-115. doi: 10.17116/otorino202085061111.
The main aim of the work was to describe a rare clinical case of osteoma of inferior turbinate. The interest of the case is that such tumors are extremely rare.
A female patient of 63 years old attended an ENT clinic. She complained on absence of nasal breath at the right side and headache. After a full ENT-examination, anamnesis, and a thorough analysis of the radiation examination results (computed tomography data), a decision was made to surgical treatment. Under general anesthesia, controlled hypotension surgery was done. First step was septoplasty, then the dense bone tumor was reduced and removed. At the control examination in 3 months, the complete removal of the formation of the inferior turbinate on the right is determined. There were no signs of continued or recurrent tumor growth.
Neoplasms of the nasal cavity, in particular the inferior turbinate, are extremely rare pathologies. They are mainly detected when performing anterior rhinoscopy, endoscopic examination of the nasal cavity. The result of histological examination is compact osteoma. The gigantic size of the inferior turbinate osteoma in our case is probably due to the patient's failure to consult a specialist (otorhinolaryngologist) for a long time. Surgical treatment of this pathology should consist in an endoscopic endonasal approach: this approach allows the most complete and minimally traumatic removal of the tumor.
这项工作的主要目的是描述一例罕见的下鼻甲骨瘤临床病例。该病例的有趣之处在于此类肿瘤极为罕见。
一名63岁女性患者前往耳鼻喉科诊所就诊。她主诉右侧鼻塞和头痛。经过全面的耳鼻喉检查、病史询问以及对放射学检查结果（计算机断层扫描数据）的深入分析后，决定进行手术治疗。在全身麻醉下，实施了控制性低血压手术。第一步是鼻中隔成形术，然后将致密的骨瘤缩小并切除。在3个月后的复查中，确定右侧下鼻甲肿物已被完全切除。没有肿瘤持续生长或复发的迹象。
鼻腔肿瘤，尤其是下鼻甲肿瘤，是极为罕见的病症。它们主要在进行前鼻镜检查、鼻腔内镜检查时被发现。组织学检查结果为致密性骨瘤。我们病例中下鼻甲骨瘤的巨大尺寸可能是由于患者长期未咨询专科医生（耳鼻喉科医生）所致。这种病症的手术治疗应采用鼻内镜下经鼻入路：这种入路能够最完整且创伤最小地切除肿瘤。
