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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: rolf.haye@medisin.uio.no

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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