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Management of schneiderian papilloma with midfacial degloving Farhat dr
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 45, No 2 (2012): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

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Abstract

Schneiderian Papilloma is a rare and benign sinonasal tumor. The symptoms include unilateral nasal obstruction, epistaxis, nasal drainage, bilateral nasal obstruction, nasal mass and sinusitis. The exact location, extension and the histological evaluation of the tumour is very important in order to decide the surgical modality. Here, we are reporting a case of Schneiderian Papilloma of the left nasal cavity and left maxillary sinus in a 62 years old man managed with midfacial degloving.Keywords : schneiderian papilloma; midfacial degloving
Recurrent juvenile nasopharyngeal angiofibroma in a young boy: a challenge to treat Farhat dr
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 45, No 3 (2012): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

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Abstract

Nasopharyngeal angiofibroma constitutes 0.05% of all head and neck tumors. It is histologically benign, but locally invasive tumor with a high incidence of persistence and recurrence. Juvenile nasopharyngeal angiofibroma is still poorly understood with regard to its origin, greater incidence among males, and the specificity of its site of origin. Treatment of juvenile nasopharyngeal angiofibroma is mainly surgery. There are various surgical approach such as: transpalatine, transpalatine and sublabial, extended lateral rhinotomi or degloving approach and extracranial-intracranial and intratemporal fossa. Treatment options for angiofibroma nasopharyng include chemotherapy, hormone administration, radiation therapy, embolization. Today, these modalities are used only as occasional complementary treatment. We reported a case report with recurrent juvenile nasopharyngeal angiofibroma that occured in a 13 years old young boy and have been done previous operation.Keywords: juvenile; nasopharyng; angiofibroma
Malignant transformation of sinonasal inverted papilloma Farhat dr
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 46, No 1 (2013): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

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Abstract

Inverted papilloma is a benign epithelial growth in the underlying stroma of the nasal cavity and paranasal sinuses that is best known for its invasiveness, tendency to recur and association with malignancy.The most common presenting symptom is nasal obstruction. CT is the techniques of choice for pretreatment staging of neoplasms of the sinonasal tract. Complete surgical extirpation is the aim of treatment of choice for these tumor. A 66 years old man was admitted to ENT-HNS Department with main complaint mass in his left nasal cavity since 3 years and 7 months ago. In the beginning, mass as big as corn arised in his left nasal cavity. The mass enlarged in 7 months full fill left nasal cavity. Sinus paranasal CT Scan showed tumor of left nasal cavity extend to left maxillary sinus, left posterior ethmoidalis sinus and left frontalis sinusitis. He was underwent tumor extirpated with midfacial degloving on May 2008. Histopatology examination from biopsy and operation were inverted papilloma. Mass on left nasal cavity raised again 2 years and 8 months after operation. On examination, anterior rhinoscopy showed pinkish mass with ulceration full fill the left nasal cavity. Sinus paranasal CT Scan showed tumor of left nasal cavity extend to left maxillary sinus, left posterior ethmoidalis sinus and left frontalis sinusitis. Histopatology examination from biopsy was inverted papilloma. The tumor was extirpated with lateral rhinotomy. Histopatology examination was carsinoma cell squamous.We diagnosed the patient with sinonasal carcinoma.Keywords : inverted papiioma; sinonasal; malignant transformation
Management of inverted papilloma with degloving approach Farhat dr
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 46, No 2 (2013): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

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Abstract

According to the World Health Organization, inverted papilloma is defined as a benign epithelial tumor composed of well-differentiated columnar or ciliated respiratory epithelium having variable squamous differentiation. A 62 years old man came into Adam Malik Hospital on April 19th, 2013 with complaint of unilateral nasal obstruction for 5 years. After examinations we diagnosed the patient with inverted papilloma and performed degloving approach to to removed the tumor dand the tumor removed intact succesfully. Inverted papilloma is one of the sinonasal papilomas subtype which aggresively treated because of a relatively high recurrence rate and potential for malignant transformation.Keywords : inverted papilloma; sinonasal; degloving