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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

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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