title: Nasoseptal chondrosarcoma resection requiring anterior fossa floor repair: a case report.
abstract: 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.
authors.affiliation: Division of Otolaryngology, Madigan Army Medical Center, Tacoma, WA 98431-5000, USA. samspear@gmail.com
authors.forename: Samuel
authors.initials: S
authors.lastname: Spear
authors.forename: John
authors.initials: J
authors.lastname: Iskandar
authors.forename: Derek
authors.initials: D
authors.lastname: Seaquist
authors.forename: Douglas
authors.initials: D
authors.lastname: Sorensen
mesh_terms: 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