Open resection and reconstruction of a Nasoseptal Chondrosarcoma: case report and literature review
Abstract Background Primary chondrosarcomas of the nasal septum are rare, with a variety of clinical features that evade detection and treatment. While endoscopic surgery has become increasingly accessible, open approaches may be needed to provide adequate visualization for tumour ablation and recon...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2020-03-01
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| Series: | Journal of Otolaryngology - Head and Neck Surgery |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s40463-020-00409-6 |
| _version_ | 1797971545065259008 |
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| author | Changseok Lee David Forner Martin Bullock Matthew H. Rigby Martin Corsten Jonathan R. Trites S. Mark Taylor |
| author_facet | Changseok Lee David Forner Martin Bullock Matthew H. Rigby Martin Corsten Jonathan R. Trites S. Mark Taylor |
| author_sort | Changseok Lee |
| collection | DOAJ |
| description | Abstract Background Primary chondrosarcomas of the nasal septum are rare, with a variety of clinical features that evade detection and treatment. While endoscopic surgery has become increasingly accessible, open approaches may be needed to provide adequate visualization for tumour ablation and reconstruction. We report the resection and reconstructive considerations of a septal chondrosarcoma. Case presentation A 75-year-old woman presented with a 3-year history of a slow growing, firm mass in the nasal tip causing protrusion and septal fullness. Computed Tomography scan of the paranasal sinuses revealed a well-circumscribed, 2.2 cm mass at the anterior nasal septum extending into the right vestibule. Biopsy of the cartilaginous lesion confirmed the diagnosis of a low-grade chondrosarcoma by histopathology. The tumour was removed using a transcolumellar open rhinoplasty approach with a large septal resection. Primary reconstruction of the surgical defect was performed using an L-shaped strut from the nasal keystone area to the columella. Follow-up examinations demonstrated no evidence of recurrent disease with satisfactory functional and cosmetic outcomes at 1-year. Conclusion This report describes a case of nasal septal chondrosarcoma successfully treated with surgical excision using an open rhinoplasty approach. Only 5–10% of chondrosarcomas are located in the head and neck region and arise rarely in the nasal septum in approximately 2–4%. With this mass, an open rhinoplasty approach was required to allow optimal exposure of the margins and to facilitate reconstruction without disruption of normal sinonasal anatomy and function. Although rare, chondrosarcoma of the nasal septum should be considered in the differential diagnosis of nasal masses. |
| first_indexed | 2024-04-11T03:34:19Z |
| format | Article |
| id | doaj.art-3e9d6ee095fe4cbf9583e455002d77ca |
| institution | Directory Open Access Journal |
| issn | 1916-0216 |
| language | English |
| last_indexed | 2024-04-11T03:34:19Z |
| publishDate | 2020-03-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Otolaryngology - Head and Neck Surgery |
| spelling | doaj.art-3e9d6ee095fe4cbf9583e455002d77ca2023-01-02T05:38:17ZengBMCJournal of Otolaryngology - Head and Neck Surgery1916-02162020-03-014911610.1186/s40463-020-00409-6Open resection and reconstruction of a Nasoseptal Chondrosarcoma: case report and literature reviewChangseok Lee0David Forner1Martin Bullock2Matthew H. Rigby3Martin Corsten4Jonathan R. Trites5S. Mark Taylor6Division of Otolaryngology – Head & Neck Surgery, Queen Elizabeth II Health Sciences Center and Dalhousie UniversityDivision of Otolaryngology – Head & Neck Surgery, Queen Elizabeth II Health Sciences Center and Dalhousie UniversityDivision of Otolaryngology – Head & Neck Surgery, Queen Elizabeth II Health Sciences Center and Dalhousie UniversityDivision of Otolaryngology – Head & Neck Surgery, Queen Elizabeth II Health Sciences Center and Dalhousie UniversityDivision of Otolaryngology – Head & Neck Surgery, Queen Elizabeth II Health Sciences Center and Dalhousie UniversityDivision of Otolaryngology – Head & Neck Surgery, Queen Elizabeth II Health Sciences Center and Dalhousie UniversityDivision of Otolaryngology – Head & Neck Surgery, Queen Elizabeth II Health Sciences Center and Dalhousie UniversityAbstract Background Primary chondrosarcomas of the nasal septum are rare, with a variety of clinical features that evade detection and treatment. While endoscopic surgery has become increasingly accessible, open approaches may be needed to provide adequate visualization for tumour ablation and reconstruction. We report the resection and reconstructive considerations of a septal chondrosarcoma. Case presentation A 75-year-old woman presented with a 3-year history of a slow growing, firm mass in the nasal tip causing protrusion and septal fullness. Computed Tomography scan of the paranasal sinuses revealed a well-circumscribed, 2.2 cm mass at the anterior nasal septum extending into the right vestibule. Biopsy of the cartilaginous lesion confirmed the diagnosis of a low-grade chondrosarcoma by histopathology. The tumour was removed using a transcolumellar open rhinoplasty approach with a large septal resection. Primary reconstruction of the surgical defect was performed using an L-shaped strut from the nasal keystone area to the columella. Follow-up examinations demonstrated no evidence of recurrent disease with satisfactory functional and cosmetic outcomes at 1-year. Conclusion This report describes a case of nasal septal chondrosarcoma successfully treated with surgical excision using an open rhinoplasty approach. Only 5–10% of chondrosarcomas are located in the head and neck region and arise rarely in the nasal septum in approximately 2–4%. With this mass, an open rhinoplasty approach was required to allow optimal exposure of the margins and to facilitate reconstruction without disruption of normal sinonasal anatomy and function. Although rare, chondrosarcoma of the nasal septum should be considered in the differential diagnosis of nasal masses.http://link.springer.com/article/10.1186/s40463-020-00409-6ChondrosarcomaNasal septumHead and neck sarcomaOpen rhinoplastyTumourReview |
| spellingShingle | Changseok Lee David Forner Martin Bullock Matthew H. Rigby Martin Corsten Jonathan R. Trites S. Mark Taylor Open resection and reconstruction of a Nasoseptal Chondrosarcoma: case report and literature review Journal of Otolaryngology - Head and Neck Surgery Chondrosarcoma Nasal septum Head and neck sarcoma Open rhinoplasty Tumour Review |
| title | Open resection and reconstruction of a Nasoseptal Chondrosarcoma: case report and literature review |
| title_full | Open resection and reconstruction of a Nasoseptal Chondrosarcoma: case report and literature review |
| title_fullStr | Open resection and reconstruction of a Nasoseptal Chondrosarcoma: case report and literature review |
| title_full_unstemmed | Open resection and reconstruction of a Nasoseptal Chondrosarcoma: case report and literature review |
| title_short | Open resection and reconstruction of a Nasoseptal Chondrosarcoma: case report and literature review |
| title_sort | open resection and reconstruction of a nasoseptal chondrosarcoma case report and literature review |
| topic | Chondrosarcoma Nasal septum Head and neck sarcoma Open rhinoplasty Tumour Review |
| url | http://link.springer.com/article/10.1186/s40463-020-00409-6 |
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