Acta Scientific Otolaryngology (ASOL) (ISSN: 2582-5550)

Case Report Volume 5 Issue 1

Osteoplastic Anterior Transoral Approach for Myxoid Chondrosarcoma in Rhinopharynx. A Case Report

Nicolás Solano1,2*, Luis Medina3, Rogger Hidalgo5, Oscar Barrios6 and Salomon Ramos4

1Craneofacial and Cleft Surgery Unit, Hospital Madre Rafols, Maracaibo, Venezuela
2Oral Surgery Postgraduate Program, Dentistry School, La Universidad del Zulia, Venezuela
3Oral and Maxillofacial Surgeon, Universidad Central del Ecuador, Quito, Ecuador
4Oral Surgeon, Hospital Universitario de Maracaibo, Maracaibo, Venezuela
5Oral and Maxillofacial Surgery Resident, Hospital Prince Lara, Carabobo, Venezuela
6Dentist, La Universidad del Zulia, Venezuela

*Corresponding Author: Nicolás Solano, Oral and Craneofacial Surgery Unit, Hospital Madre Rafols, Zulia, Venezuela.

Received: October 01, 2022; Published: December 14, 2022

Abstract

Chondrosarcoma is a rare malignant neoplasm in the head and neck region, the most frequent sites in this area are recorded in the maxilla, nasal passages, paranasal sinuses, nasal septum and pharynx. Surgical access to large neoplasms located in the midline and rhinopharynx continues to be a challenge for surgeons due to anatomical and visual limitations when approaching them. The objective of this study is to describe  a myxoid chondrosarcoma  in rhinopharynx presented in a 56-year-old female patient treated surgically using an osteoplastic anterior transoral approach and neoadjuvant therapy, currently with three years of evolution the patient maintains adequate ocular, nasal and oral functions, without signs of recurrence of the lesion or facial alterations. Conclusion:  surgical resection is the most effective treatment for myxoid chondrosarcoma if it is resectable, offering cure and better long-term survival. The anterior transoral osteoplastic approach is an excellent alternative for resection of tumors in the rhinopharynx since it allows us to have a wide field of vision, low morbidity and optimal aesthetic results as there are no facial scars.

Keywords: Chondrosarcoma; Lefort I; Rhinopharynx; Osteotomy

References

  1. Sepúlveda Rojas C., et al. “Condrosarcoma mixoide de bajo grado en senos paranasales”. Acta de Otorrinolaringologia and Cirugía de Cabeza y Cuello 3 (2010).
  2. Coşkun ULUCAKÖY., et al. “Surgical outcomes of extraskeletal myxoid chondrosarcoma”. Turkish Journal of Medical Sciences 52 (2022): 1183-1189.
  3. Kos E., et al. “Rare case of nasal cavity chondrosarcoma presenting only with unilateral decreased vision”. Clinical Case Reports (2022): 10.
  4. Ottesen T., et al. “Chondrosarcoma patient characteristics, management, and outcomes based on over 5,000 cases from the National Cancer Database (NCDB)”. PLoS ONE7 (2022): 2022.
  5. Silva M., et al. “Condrosarcoma del septum nasal. Reporte de un caso y revisión de la literatura”. Revista de otorrinolaringología y cirugía de cabeza y cuello 74 (2014): 139-144.
  6. Guerra Delgado M., et al. “Condrosarcoma en fosa craneal media, ápex orbitario, seno maxilar, fosa infratemporal y espacio parafaríngeo”. Revista de Especialidades Médico-Quirúrgicas2 (2014): 176-180.
  7. Obeso S., et al. “Surgical treatment of head and neck condrosarcomas”. Acta Otorrinolaringológica Española 4 (2010): 262-271.
  8. Solano N., et al. “Osteoplastic Anterior Transoral Approach for Tumors of the Middle Cranial Fossa”. Journal of Craniofacial Surgery 30 (2019): 2313-2314.

Citation

Citation: Nicolás Solano., et al. “Osteoplastic Anterior Transoral Approach for Myxoid Chondrosarcoma in Rhinopharynx. A Case Report".Acta Scientific Otolaryngology 5.1 (2023): 12-15.

Copyright

Copyright: © 2022 Nicolás Solano., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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