Large olfactory neuroblastoma (esthesioneuroblastoma) surgically treated with an Altemir technique modification: a case report

Introduction Olfactory neuroblastomas are rare malignant tumors that usually occur in the upper nasal cavity. The purpose of this paper is to present a case of a large olfactory neuroblastoma filling the entire nasal cavity, treated with an Altemir technique modification. Methods A 39-year-old woman...

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Veröffentlicht in:Oral and maxillofacial surgery 2009-09, Vol.13 (3), p.171-175
Hauptverfasser: Papadogeorgakis, Nikolaos, Petsinis, Vassilis, Eleftheriades, Efstathios, Dimtsas, Stefanos, Protopappa, Dimitra, Alexandridis, Constantinos
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container_end_page 175
container_issue 3
container_start_page 171
container_title Oral and maxillofacial surgery
container_volume 13
creator Papadogeorgakis, Nikolaos
Petsinis, Vassilis
Eleftheriades, Efstathios
Dimtsas, Stefanos
Protopappa, Dimitra
Alexandridis, Constantinos
description Introduction Olfactory neuroblastomas are rare malignant tumors that usually occur in the upper nasal cavity. The purpose of this paper is to present a case of a large olfactory neuroblastoma filling the entire nasal cavity, treated with an Altemir technique modification. Methods A 39-year-old woman presented with a large tumor of the nasal cavity. After the laboratory examinations, the tumor was classified as a Kadish stage A olfactory neuroblastoma. The selected treatment was the surgical excision after an Altemir technique modification combined with midfacial degloving and additional radiotherapy. Results Histopathology revealed a Hyams grade III olfactory neuroblastoma completely removed. Although the patient refused the additional radiotherapy, 18 months postoperatively, there were no signs of recurrence, and the patient shows big improvement on her sense of smell. Conclusions Large olfactory neuroblastomas filling the entire nasal cavity extending back to the postnasal space can be completely removed using a transfacial approach as the Altemir technique modification is.
doi_str_mv 10.1007/s10006-009-0160-x
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The purpose of this paper is to present a case of a large olfactory neuroblastoma filling the entire nasal cavity, treated with an Altemir technique modification. Methods A 39-year-old woman presented with a large tumor of the nasal cavity. After the laboratory examinations, the tumor was classified as a Kadish stage A olfactory neuroblastoma. The selected treatment was the surgical excision after an Altemir technique modification combined with midfacial degloving and additional radiotherapy. Results Histopathology revealed a Hyams grade III olfactory neuroblastoma completely removed. Although the patient refused the additional radiotherapy, 18 months postoperatively, there were no signs of recurrence, and the patient shows big improvement on her sense of smell. 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subjects Adult
Case Report
Dentistry
Esthesioneuroblastoma, Olfactory - pathology
Esthesioneuroblastoma, Olfactory - surgery
Female
Humans
Medicine
Medicine & Public Health
Nasal Cavity - surgery
Nose
Nose Neoplasms - pathology
Nose Neoplasms - surgery
Oral and Maxillofacial Surgery
Otorhinolaryngologic Surgical Procedures - methods
Radiation therapy
title Large olfactory neuroblastoma (esthesioneuroblastoma) surgically treated with an Altemir technique modification: a case report
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