Nasoseptal chondrosarcoma resection requiring anterior fossa floor repair: a case report.
We present a case in which a 23-year-old male patient diagnosed with nasoseptal chondrosarcoma with anterior cranial fossa extension underwent combined surgical approaches to optimize complete resection of the tumor. Surgery was followed by a 6-month course of proton-beam radiation therapy. Extensive tumors of this type with significant intracranial extension require surgical repair of the anterior fossa floor. We employed a repair technique not previously associated with the resection of these tumors, using a split-calvaria osteoplastic rotational flap. This method provided structural integrity while avoiding the risks associated with the use of free bone grafts and metallic meshes.
Spear
Samuel
S
Division of Otolaryngology, Madigan Army Medical Center, Tacoma, WA 98431-5000, USA. samspear@gmail.com
Iskandar
John
J
Seaquist
Derek
D
Sorensen
Douglas
D
D002813:Chondrosarcoma / Q000473:pathology / Q000601:surgery*; D035262:Cranial Fossa, Anterior / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009300:Nasal Septum / Q000473:pathology* / Q000601:surgery*; D009669:Nose Neoplasms / Q000473:pathology* / Q000601:surgery*; D055815:Young Adult