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Desmoplastic fibroma of the vidian canal in a child: case report

Published online by Cambridge University Press:  30 March 2011

S Peridis ,
M T Moonim ,
D Roberts ,
S Al-Sarraj  and
C Hopkins
S Peridis*
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Guy's and St Thomas' NHS Foundation Trust, London, UK
M T Moonim
Affiliation:
Department of Histopathology, Guy's and St Thomas' NHS Foundation Trust, London, UK
D Roberts
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Guy's and St Thomas' NHS Foundation Trust, London, UK
S Al-Sarraj
Affiliation:
Department of Clinical Neuropathology, King's College Hospital, London, UK
C Hopkins
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Guy's and St Thomas' NHS Foundation Trust, London, UK
*
Address for correspondence: Mr Stamatios Peridis, Department of Otolaryngology Head and Neck Surgery, Guy's and St Thomas' NHS Foundation Trust, Guy's Hospital, Great Maze Pond, London SE1 9RT, UK E-mail: [email protected]
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Abstract

Introduction:

To present a case of a child with a desmoplastic fibroma of the vidian canal, compressing the vidian nerve.

Case report:

A 12-year-old girl with several years' history of right-sided facial pain was referred to our institution. Magnetic resonance imaging and computed tomography scans showed an expansile mass involving the right vidian canal. The patient underwent a complete endoscopic surgical resection aided by the FusionTM ENT navigation system. This was performed through a transnasal, trans-septal, trans-sphenoidal route via the right nostril, and achieved macroscopic clearance with minimal peri-operative morbidity. A biopsy of the lesion showed a fibro-osseous lesion consistent with desmoplastic fibroma.

Conclusion:

Diagnosis and resection of this rare lesion at an earlier stage would have avoided delays in resolving the child's disabling pain. This emphasises the importance of early referral of unusual cases to tertiary centres.

Keywords

Fibroma, DesmosplasticEndoscopic SurgeryChildSkull Base
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 125 , Issue 7 , July 2011 , pp. 753 - 756
Copyright
Copyright © JLO (1984) Limited 2011

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