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Sinonasal myxoma in an infant
Ioannis A Iatrou1, Nadia Theologie-Lygidakis, Minas D Leventis
1University Department of Oral and Maxillofacial Surgery, Dental School of Athens, Greece. iiatrou@dent.uoa.gr
The Journal of Craniofacial Surgery
|September 22, 2010
Summary
This study reports a rare sinonasal myxoma in a 12-month-old boy, originating from the nasolacrimal duct. Surgical removal achieved satisfactory functional and aesthetic outcomes with no recurrence.
Area of Science:
- Oncology
- Pathology
- Otorhinolaryngology
Background:
- Myxomas in the maxillofacial region are typically of odontogenic origin.
- Sinonasal myxomas are rare, originating from the sinonasal tract and presenting in the nasolabial region.
Observation:
- A 12-month-old boy presented with a sinonasal myxoma causing left nasolacrimal duct obstruction.
- A soft-tissue mass was identified in the nasobuccal groove, attached to the underlying bone.
Findings:
- Histopathology confirmed an extragnathic, nonodontogenic sinonasal myxoma originating from the nasolacrimal duct.
- Surgical excision with wide margins and reconstruction of adjacent structures were performed.
- Benign fibroblastic elements were noted in the biopsy.
Implications:
- This case highlights the rare location and origin of sinonasal myxomas.
- Successful surgical management preserved function and aesthetics, with no recurrence at 3.5 years.
- This is the second youngest reported case of sinonasal myxoma in the literature.
