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Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
Published on: January 17, 2018
Endonasal endoscopic excision of a rare tumor: nasal bone osteoid osteoma
Haşmet Yazici1, Fatih Kemal Soy, Erkan Kulduk
1From the *Faculty of Medicine, E.N.T. Clinic, Balikesir University, Balikesir; †Mardin State Hospital, Mardin; ‡Faculty of Medicine, E.N.T. Clinic, Adiyaman University, Adiyaman; and §Faculty of Medicine, Radiology Clinic, Balikesir University, Balikesir, Turkey.
Background:
Osteomas are slow-growing, benign tumors that frequently occur in paranasal areas; are detected by their symptoms, depending on their location and size, or incidentally on radiologic examination; and rarely arise from the nasal bone. We present an isolated nasal bone osteoma--which has not, to our knowledge, been reported previously--that was excised using an endoscopic endonasal approach via intercartilaginous incision and reconstructed with MEDPOR.
Methodology:
A 21-year-old male patient attended the Mardin State Hospital ENT Clinic with the complaint of a slowly enlarging mass on the left side of the nose. The clinical, radiologic, and histologic findings pointed to a diagnosis of nasal bone osteoma.
Results:
An endoscopic-assisted endonasal approach was performed, and defect was reconstructed with MEDPOR. At postoperative 6-month evaluation, no recurrence was observed, and the cosmetic result was satisfying in both external and intranasal views.
Conclusions:
In the removal of rare nasal bone osteomas, endoscopic endonasal surgery could be preferred over an external approach because of its favorable cosmetic results, comfort for the patient, and graft viability.

