Management and surgical approach ingenuity for nasal fibro-osseous lesions at our facility: A case series of 15 patients. Issue 12 (December 2021)

• Record Type: Journal Article
• Authors: Ebihara, Teru; Omura, Kazuhiro; Otori, Nobuyoshi; Aoki, Satoshi; Tochigi, Kosuke; Takeda, Teppei; Kojima, Hiromi
• Is Part Of: Journal of cranio-maxillofacial surgery. Volume 49:Issue 12(2021)
• Page Start: 1119
• Page End: 1123
• Publication Date: 2021-12
• Subjects: Bone neoplasms -- Skull base -- Endoscopy -- Algorithms; Skull -- Surgery -- Periodicals; Maxilla -- Surgery -- Periodicals; Face -- Surgery -- Periodicals; Surgery, Plastic -- Periodicals; Maxilla -- surgery -- Periodicals; Face -- surgery -- Periodicals; Skull -- surgery -- Periodicals; Oral Surgical Procedures -- Periodicals; Reconstructive Surgical Procedures -- Periodicals; Surgery, Plastic -- Periodicals; Surgery, Oral -- Periodicals; Electronic journals; 617.514
• DOI: 10.1016/j.jcms.2021.06.016
• Languages: English
• ISSNs: 1010-5182

Abstract

Abstract: To retrospectively evaluate our treatment algorithm and surgical approaches for nasal fibro-osseous lesions at our hospital. Fifteen patients with nasal fibro-osseous lesions treated from January 1, 2010, to January 31, 2020 were included. Among them, 13 patients who underwent surgery were divided into groups A and B, based on whether they were treated before or after the treatment algorithm was established. The extent of the lesion, surgical approach, and outcomes, including bone regrowth assessed postoperatively using computed tomography at 6 months, were analyzed. In group A, six cases were treated via endoscopy and two via a combined endoscopy and external approach. In group B, three cases were treated via endoscopy, one via combined endoscopy and external approach, and one combined with craniotomy. Two group A cases and no group B cases had residual lesions postoperatively. Postoperative bone regrowth occurred in three group A patients and no group B patients. Multi-angled approaches for nasal fibro-osseous lesions based on the unified treatment algorithms used in the study may lead to a reduction in postoperative recurrence and complication rates.