Endoscopic removal of a nasal septum chondrosarcoma.
We describe an alternative, endoscopical technique for the surgical removal of a rare chondrosarcoma on the nasal septum. The technique requires a resection of the whole tumour within margins in healthy osteocartilaginous nasal septum under endoscopic guidance and includes bilateral middle turbinectomy and ethmoidectomy. We present the case of a 57-year-old woman with a well-differentiated chondrosarcoma (Grade I) of the nasal septum. Endoscopical surgery resulted without any cosmetic deformity problems, and the functional result was favourable. No recurrence was evidenced after a follow-up of 3 years. The main advantages of this technique are the excellent functional and cosmetic results without any surgical reconstructive techniques. This approach may provide a minimally invasive method to remove well-differentiated, low-grade (Grade I) and size limited malignant cartilaginous tumours of the nasal septum.
Giger
Roland
R
Laboratory of Experimental Rhinology, Department of Otorhinolaryngology/Head and Neck Surgery, University Hospital, Geneva, Switzerland. gigerro@hotmail.com
Kurt
Anne-Marie
AM
Lacroix
Jean-Silvain
JS
D002813:Chondrosarcoma / Q000601:surgery*; D004724:Endoscopy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D009300:Nasal Septum; D009669:Nose Neoplasms / Q000601:surgery*; D013997:Time Factors