G. Gary Card, MD, Houston
Case 1.–A 16-year-old boy with a lifelong history of an asymptomatic mass of his nasal dorsum, noted an increase in the size of the mass following nasal trauma six weeks before his hospital admission. Physical examination revealed a 1.5 × 1.5-cm cystic mass over the right upper lateral cartilage that extended across the midline, and a small dimple on the dorsum of the nose. Results of neurological examination were normal. A nasopharyngogram revealed no abnormality. Figure 1 is a lateral tomogram showing a cavity in the superior portion of the nose that is connected to a sinus tract passing through bone into the anterior fossa. The lesion was resected by a combined craniofacial procedure performed in conjunction with a neurosurgeon. Figure 2 shows the lesion in the floor of the anterior fossa, attached to dura. The microscopical appearance of the lesion is shown
FECHNER RE. Resident's Page. Arch Otolaryngol. 1978;104(5):301–302. doi:10.1001/archotol.1978.00790050067020
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