Hostname: page-component-cd9895bd7-7cvxr Total loading time: 0 Render date: 2024-12-29T07:44:05.194Z Has data issue: false hasContentIssue false

Fibro-hyaline extensions from the bony nasal aperture, causing nasal obstruction

Published online by Cambridge University Press:  03 August 2011

R Haye*
Affiliation:
Department of Oto-rhino-laryngology, Lovisenberg Diakonale Hospital, Oslo, Norway
P Jebsen
Affiliation:
Department of Pathology, Oslo University Hospital Rikshospitalet, Oslo, Norway
B Dingsør
Affiliation:
Department of Oto-rhino-laryngology, Lovisenberg Diakonale Hospital, Oslo, Norway
*
Address for correspondence: Dr Rolf Haye, Department of Oto-rhino-laryngology, Lovisenberg Diakonale Hospital, 0440 Oslo, Norway Fax: 0047 2322 5646 E-mail: [email protected]

Abstract

Objective:

We report a rare case of fibro-hyaline anterior extensions of the bony nasal pyramid.

Method:

The clinical, radiological, intra-operative and histological findings are presented.

Results:

A 34-year-old man presented with bilateral nasal obstruction due to enlarged lateral walls of the nasal vestibule. Radiology showed normal bony structures. Surgery revealed three histologically identical, non-malignant, fibrous masses, one in the nasal septum and one in each of the vestibular walls. The latter were attached to the bony pyramid, protruding anteriorly and converging medially.

Conclusion:

The location and symmetry of the fibro-hyaline projections indicated that they constituted a malformation mimicking congenital bony nasal pyriform aperture stenosis. Histological analysis showed that the masses were not neoplastic.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 2011

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1Losee, JE, Kirschner, RE, Whitaker, LA, Bartlett, SP. Congenital nasal anomalies: a classification scheme. Plast Reconstr Surg 2004;113:676–89CrossRefGoogle ScholarPubMed
2Konstantinidis, I, Triaridis, S, Triaridis, A, Pantzaki, A. A rare case of solitary fibrous tumor of the nasal cavity. Auris Nasus Larynx 2003;30:303–5CrossRefGoogle ScholarPubMed
3Laga, AC, Taijrian, AL, Islam, MN, Bhattacharyya, I, Cohen, DM, Plamondon, CJ et al. Myopericytoma: report of two cases associated with trauma. J Cutan Pathol 2008;35:866–70CrossRefGoogle ScholarPubMed
4Patsioura, K, Anagnostou, E, Benis, N. Intramuscular myxoma of the nasal vestibule. Auris Nasus Larynx 2010;37:100–2CrossRefGoogle Scholar
5Vujevich, JJ, Goldberg, LH, Kimyai-Asada, A, Law, R. Recurrent nodule on the nasal columella: a good reason to biopsy. Int J Dermatol 2008;47:728–31CrossRefGoogle ScholarPubMed
6Jung, SN, Shin, JW, Kwon, H, Yim, YM. Fibrolipoma of the tip of the nose. J Craniofac Surg 2009;20:555–6CrossRefGoogle ScholarPubMed
7Furue, M, Harada, S. Sclerotic fibroma of the skin arising from the nasal ala. J Dermatol 1993;20:252–3CrossRefGoogle ScholarPubMed
8Uslu, H, Bal, N, Guzeldemir, E, Pektas, ZO. Three siblings with juvenile hyaline fibromatosis. J Oral Pathol Med 2007;36:123–5CrossRefGoogle ScholarPubMed
9Brown, OE, Myer, CM, Manning, SC. Congenital nasal pyriform aperture stenosis. Laryngoscope 1989;99:8691CrossRefGoogle ScholarPubMed