Flap reconstruction of soft tissue defect after resecting a huge hemangioma of the nose

Lim, Joonho,Oh, Jeongseok,Eun, Seokchan Korean Cleft Palate-Craniofacial Association 2020 Archives of Craniofacial Surgery Vol.21 No.1

Hemangioma is a benign vascular tumor that grows by endothelial cell hyperplasia. It occurs most frequently in the head and neck region. Nose reconstruction is tricky because of its unique three-dimensional structure and different tissue components. We report a case of successful reconstruction of near-total nose defect using the paramedian forehead flap combined with a nasolabial flap, immediately after excision of nasal hemangioma. A 49-year-old male patient was presented with a huge mass at the nose. Preoperative magnetic resonance imaging showed prominent vascular channels extending to the forehead and cheek. Complete resection of the mass was performed, which resulted in an eccentric defect. The right paramedian forehead flap and the left nasolabial flap were designed and transferred to the defect. Flap division was performed 1 month later. The patient is satisfied with the overall appearance and did not develop any functional deficit.

국소피판을 이용한 비결손의 재건 : 7예의 분석

진홍률,송창근,신시옥,염창섭 대한이비인후과학회 2000 대한이비인후과학회지 두경부외과학 Vol.43 No.9

Schwannoma on the nasal dorsum and tip with sensory changes

Yoon, Sung Ho,Kim, Cha Soo,Oh, Jae Wook,Lee, Keun Cheol Korean Cleft Palate-Craniofacial Association 2020 Archives of Craniofacial Surgery Vol.21 No.6

Schwannomas, which originate from Schwann cells in the peripheral nervous system, are slowg-rowing and uncommon benign tumors. Most schwannomas (90%) occur in isolation, and multiple occurrences are a characteristic feature of neurofibromas. Schwannomas of the nose and nasal tip are particularly unusual. Although a few cases of schwannomas of the sinusoidal tract and nasal septum have been reported, schwannomas arising from the nasal dorsum area and tip are extremely rare. Sensory abnormalities are also a very rare symptom. We excised a schwannoma on the nasal dorsum through direct incision and a schwannoma on the nasal tip through open rhinoplasty. No postoperative complications involving recurrence, hematoma, or infection occurred. The possibility of neurological changes should be considered in cases of an abnormality in the peripheral nervous system. Schwannoma must be kept in mind as a possible cause of neurological changes localized to a specific dermatome, and should always be considered in the differential diagnosis of a mass on the nose.

비강 및 부비동 양성종양의 비내시경적 치료의 장기간 추적관찰

배창훈,송시연,김용대 대한이비인후과학회 2005 대한이비인후과학회지 두경부외과학 Vol.48 No.7

Background and Objectives:Recently, rhinologists have increasingly applied their expertise in endoscopic sinus surgery to the resection of sinonasal neoplasms. However, there have not been many reports about long-term follow-up outcomes about endoscopic resection of sinonasal benign tumor. The purpose of this study is to evaluate long-term results of endoscopic management in sinonasal benign tumors. Subjects and Method:We reviewed retrospectively the medical records and radiologic findings of 35 patients with sinonasal benign tumors, who had been treated with transnasal endoscopic resection between January 1995 and December 1999 at Yeungnam University Medical Center and followed over a 5-year. Results:Inverted papilloma (22 cases, 62.8%) was the most common of benign tumor, followed by hemangioma (4 cases), fibrous dysplasia (2cases), angiofibroma (2 cases), etc. Among of the 22 cases of inverted papilloma, there were 4 cases of T1, 12 of T2 and 6 of T3 according to the Krause staging system. The most common chief complaint was unilaterally nasal obstruction. The mean follow-up period was 6.5 years (5-8 years). There was no major complications, with only one case (4.5%) of recurrent inverted papilloma observed during the following-up period. Conclusions:The transnasal endoscopic surgical procedure is less aggressive than other methods and except for massively extended cases of sinonasal benign tumors, it is a successful, therapeutic surgical method.

비전형적 위치들로 전이된 신세포암: 증례 보고

이재명,이기재,김호균,심재찬,서정호,김영화 대한영상의학회 2007 대한영상의학회지 Vol.57 No.3

Renal cell carcinoma is a tumor that commonly occurs with distant metastases and typically metastasizes to the following distant sites, listed in order of descending frequency: the lung and mediastinum, bone, liver, contralateral kidney or adrenal gland, and brain. However, metastases to the face, skin, and skeletal muscle are extremely rare. We report here a case of a metastatic renal cell carcinoma involving the face, skeletal muscles and skin simultaneously. 신세포암은 원격전이를 잘하는 종양으로 폐, 종격동, 뼈, 간, 반대측 신장과 부신, 그리고 뇌의 순으로 전이를 잘하는 것으로 알려졌다. 그러나 안면부, 피부 및 피하, 그리고 골격근으로의 전이는 매우 드물다. 이에 저자들은 전이성 신세포암이 안면부, 피부 및 피하 그리고 골격근을 동시에 침범한 증례를 보고하고자 한다.

성인의 비강에서 발생한 모세혈관성 혈관종: 1예 보고

백상현,김현숙,김완섭,조성범,최윤선,정명진,김석준,윤숙자,윤용규 대한영상의학회 2002 대한영상의학회지 Vol.47 No.3

Capillary hemangioma of the adult nasal cavity is rare. We report a case which occurred in the right nasal cavity of a 25-years-old woman, together with the multiphase enhanced CT findings. The patients who had a history of recurrent nasal bleeding, had experienced nasal obstruction and swelling during the two-month period prior to presentation, and one month before presentation, spontaneous vaginal delivery occurred. Physical examination revealed the presence of a well-defined round mass, with redness in the right nasal vestibule. The mass showed rim enhancement at early arterial-phase CT scanning, increased enhancement at the late arterial phase, and moderately homogeneous enhancement at the delayed phase. 모세혈관성 혈관종이 성인의 비강에서 생기는 경우는 매우 드물며, 저자들은 우측 비강에서 발생한 모세혈관성 혈관종 1예를 경험하였으며 이를 다중시기 조영증강 CT소견과 함께 보고하고자 한다. 25세 여자가 두 달 전부터 발생한 비폐색과 오른쪽 비강에서 통증을 동반한 종창을 주소로 내원하였으며, 환자는 내원 한 달 전 자연질식분만을 하였고 과거에 잦은 비출혈이 있었다. 이학적 검사상 비정전 부위에서 경계가 분명하고 발적을 동반한 결절이 관찰되었다. 조기 동맥기 CT에서 종괴의 변연부에서 조영증강이 있었고 후기 동맥기에는 조영증강이 점차 증가하였으며, 지연기에서는 중등도의 균일한 조영증강이 지속되는 결절로서 관찰되었다.

비익에 발생한 다형성 선종 1예

최수영,강희진,김성완,민진영 대한이비인후과학회 2021 대한이비인후과학회지 두경부외과학 Vol.64 No.10

Pleomorphic adenoma occurs primarily in the major salivary glands, but very rarely in thenose. Treatment of nasal pleomorphic adenoma, like pleomorphic adenoma of the major salivarygland, is also a complete resection. Since most are confined to the nasal cavity and do notinvade cartilage or other tissues, it can be removed relatively simply by nasal endoscopic surgery. We report a case where a pleomorphic adenoma arising from the right nasal ala invadesthe lateral crus of lower lateral cartilage, where a part of the cartilage was excised along withremoval of the tumor and reconstructed with nasal septal cartilage. Eight month

Current strategies for aesthetic soft tissue refinement in nasal reconstruction

Kim, Min Ji,Lim, Hyoseob,Park, Dong Ha Korean Cleft Palate-Craniofacial Association 2022 Archives of Craniofacial Surgery Vol.23 No.3

The challenges of successful nasal reconstruction, which are related to the anatomical complexity of the region, have been extensively studied. Revisional operations are often required to achieve proper nasal reconstruction, with results resembling the premorbid nasal status. This is necessary to ensure the quality of life of skin cancer patients. Fundamental nasal reconstruction requires both proper soft tissue coverage and proper function. However, earlier studies in the field primarily focused on the functional aspect of nose reconstruction, although the cosmetic aspect is also an important factor to consider. In response to this need, many recent studies on nose reconstruction have proposed various refinement strategies to improve aesthetic satisfaction. Most plastic surgeons accept the nasal aesthetic subunit principle as a standard for nasal reconstruction. This review outlines the commonly used surgical refinement options and management strategies for postoperative complications based on the subunit principle. In patients with nasal defects, a proper technical strategy might help minimize revision operations and optimize the long-term results.

비강 내에 발생한 선종양 과오종(Adenomatoid Hamartoma) 1예

박경훈,권순욱,윤상원,주종은 대한이비인후과학회 2004 대한이비인후과학회지 두경부외과학 Vol.47 No.12

Hamartomas are non-neoplastic malformations or congenital errors of tissue development. They are characterized by an abnormal mixture of tissues indigenous to that area of the body, but with an excess of one or more of the tissue types. Adenomatoid hamartomas are pathologically unique-appearing sinonasal tract and nasopharyngeal lesions and defined as follows;the glandular component of the hamartoma consisted of respiratory epithelium originating from the surface epithelium, and polypoid growth resulted from respiratory epithelial-lined adenomatoid proliferation. Hamartomas occur in all areas of the body, especially in the liver, spleen, kidney and lung, but very rarely in the nasal cavity, paranasal sinuses, or nasopharynx. The histopathological differential diagnosis of adenomatoid hamartoma of the sinonasal tract includes inverted papilloma and adenocarcinoma. Misinterpretation as a true neoplasm may result in unnecessary radical surgery. We present a case of adenomatoid hamartoma in the nasal cavity, which was treated with complete resection by endonasal endoscopic approach.

비부비동 암종의 수술에서 안구 보존의 의의

지용배,송미나,성윤식,이용섭,김경래,태경 대한이비인후과학회 2009 대한이비인후과학회지 두경부외과학 Vol.52 No.4

Background and Objectives:Preservation of orbital contents during surgery of paranasal sinus malignant tumors encroaching on the orbit remains a controversial issue. The purpose of this study is to investigate significance of orbital preservation in the surgery of sinonasal malignancies abutted orbit in view of oncological safety and functional outcome. Subjects and Method: A retrospective review was conducted using medical records of 41 patients who underwent surgery between Mar 1991 and Feb 2006 for sinonasal malignancies abutting or eroding orbit. Results:Among 41 cases of sinonasal tract malignancies abutting or invading into the orbit, thirty-four of 41 tumors were amenable for surgical treatment with orbital preservation and the remaining 7 underwent orbital exenteration. 71.4% (5/7) of the patients whose orbit was exenterated had local recurrence, compared with 20.5% (7/34) of the patients whose orbit was preserved. The 5-year survival rate was 50.0% in the orbit exenterated group and 59.9% in the orbit preserved group. This difference was not statistically significant (p>0.05). In the preservation group, local recurrence rate was 27.1% (2/9) in the periorbita involvement group, 22.2% (2/9) in the bony destruction group and 14.3% (2/14) in the abutting orbit group. There is no statistically significant difference among three groups. Although some patients had problems, the fact that all patients retained their orbit demonstrates adequate visual acuity. Conclusion:Local recurrence and survival rate were not significantly different between the orbital preservation and exenteration group and also between the bony destruction and periorbita involvement group. So, in the selected case of periorbita invasion, orbital preservation could be considered.