Treatment of pediatric esthesioneuroblastoma with smell preservation
Autor: | Maria Silvia Lazio, Giandomenico Maggiore, Oreste Gallo |
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Rok vydání: | 2018 |
Předmět: |
Male
Natural Orifice Endoscopic Surgery Nasal cavity medicine.medical_specialty Adolescent medicine.medical_treatment Nose Neoplasms Esthesioneuroblastoma Olfactory Cribriform plate Nose neoplasm Surgical Flaps 03 medical and health sciences 0302 clinical medicine Esthesioneuroblastoma otorhinolaryngologic diseases medicine Nasal septum Humans Outpatient clinic 030223 otorhinolaryngology Craniotomy Nasal Septum Skull Base Olfactory Neuroblastoma business.industry Endoscopy General Medicine Plastic Surgery Procedures medicine.disease Olfactory Bulb Otorhinolaryngologic Surgical Procedures Surgery Smell medicine.anatomical_structure Otorhinolaryngology Quality of Life Nasal Cavity business Organ Sparing Treatments 030217 neurology & neurosurgery |
Zdroj: | Auris Nasus Larynx. 45:1107-1112 |
ISSN: | 0385-8146 |
Popis: | Olfactory neuroblastoma is a rare malignant tumor of neuroectodermal origin and represents the most common cancer of the nasal cavity in pediatric age. The gold standard of treatment consists of en bloc resection, numerous studies have shown as the endoscopic approaches permit good control of the disease improving the quality of life after the treatment. Herein we describe the case of a 13-year-old patient referred to our outpatient clinic with a polypoid multi-lobed lesion occupying the left nasal cavity and imaging that confirmed a left-sided nasal mass without cribriform plate involvement (Kadish B). We performed an unilateral endoscopic resection with transnasal craniectomy and anterior skull base reconstruction with a flap from the contralateral nasal septum based on the septal branches of the anterior and posterior ethmoidal arteries (Septal Flip Flap, SFF), that provided a faster healing process with reduction of nasal crusting, improvement in the quality of life of patient in the postoperative period and the preservation of the contralateral olfactory bulb that has allowed to save the smell. This treatment strategy of pediatric esthesioneuroblastoma was analyzed in the context of the current literature. |
Databáze: | OpenAIRE |
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