Perspective, J Spine Neurosurg Vol: 12 Issue: 1
Successfull Multidisciplinary Management of Giant Nasal Fibromyxoma
Department of Neuroscience, University of Science, New York, USA
Received date: 25 January, 2023, Manuscript No. JSNS-22-57542;
Editor assigned date: 27 January, 2023, PreQC No. JSNS-22-57542 (PQ);
Reviewed date: 10 February, 2023, QC No. JSNS-22-57542;
Revised date: 17 February, 2023, Manuscript No. JSNS-22-57542 (R);
Published date: 27 February, 2022, DOI: 10.4172/2325-9701.1000142
Citation: Coqua L (2023) Successfull Multidisciplinary Management of Giant Nasal Fibromyxoma. J Spine Neurosurg 12:1
Fibromyxomas are very uncommon benign tumors of the top and neck place. They are characterized through the substitute of ordinary bone through a fibrous cell stroma. Fibromyxoma is a rare benign or low-grade soft-tissue tumor, related to fibro-osseous lesions and involves the paranasal sinuses [1,2]. These tumors are characterized by benign evolution, but they can in some situations have a locoregional destructive behavior . These tumors are slow developing benign lesions, which might also additionally purpose tremendous nearby destruction with an inclination to recurrence after surgical excision. We document the case of a 52 years vintage Moroccan female, identified with massive nasal fibromyxoma. This case changed into efficiently controlled through a multidisciplinary crew, with entire resection of the tumor after arterial embolization, permitting a terrific useful and locoregional control. To our knowledge, this form of multidisciplinary technique has had by no means been defined with inside the literature, with a success results. Fibromyxomas are very uncommon tumors affecting the top and neck place. They are benign tumors characterized through nearby aggressively, with a negative opportunity to metastatic evolution. These tumors normally arise with inside the 2nd or 1/3 decades, hardly ever in kids or adults after 50 years vintage (three). Imaging performs a pivotal position with inside the noninvasive prognosis and characterization of those tumors, presenting records approximately the vicinity of those tumors, their extension and invasion of adjoining structures . Multidisciplinary control is the assure of choicest care, that can permit a curability status . We document right here a case of massive nasal fibromyxoma successfully controlled way to the intervention of a multidisciplinary crew that carried out an arterial embolization observed through an entire non-mutilating resection, with top useful and locoregional control .
52 years vintage moroccan female, with none unique clinical history (trauma, fever, dental problem or nasal obstruction), supplied on the Military Hospital AVICENNE Marrakesh-Morocco, with innovative swelling and painless proper paranasal place regarded on account that 2 years. The evolution changed into marked through the advent of an ache thrilling the proper hemi-face to the palpation and the tries of nasal aspiration. This ache has become spontaneous afterwards . The fashionable exam changed into in the ordinary limits. The affected person additionally reviews the advent of phonatory troubles and the lack of ability to respire nasally . Visual analogue ache scale gave a rating of 5/10, which changed into calmed through analgesics. Local exam discovered a regular swelling of the nasal mucosa at the proper, painful now no longer permitting get right of entry to of the naso-fibroscope. This swelling prolonged to the ipsilateral sub-palpebral place . No nasal invasion changed into found and her dentition changed into ordinary. A biopsy changed into carried out with anatomopathological have a look at. The end result after immunohistochemical supplement changed into in choose of fibromyxoma. Facial CT experiment confirmed a mass measuring 4 × 3 cm with invasion of the 2 nasal fossae and the proper maxillary sinus. This mass describes an intimate touch with the sphenoid bone with the start of lysis of the latter . We additionally be aware a speedy enhancement through the assessment product, attesting to the hypervascular nature of this mass. The supplement through the MRI allowed to do away with a likely vascular or fearful extension mainly closer to the optical chiasma. An angiogram carried out 24 hours earlier than the exeresis surgery, diagnosed the terminal department of the inner maxillary artery accountable for the vascularization of this mass . An embolization of this department changed into carried out to put together the excision surgery. A monobloc resection changed into carried out 24 hours after embolization minimizing the hazard of bleeding and enhancing dissection possibilities. The anatomopathological have a look at of the mass showed the prognosis of fibromyxoma, and decided the non-invasiveness of the resection limits . The affected person changed into discharged from the health facility three days after the intervention with disappearance of the rigors and phonatory disorders. After a follow-up of 12 months, there have been no symptoms and symptoms of locoregional recurrence or postoperative complications.
Nasal fibromyxoma is an extraordinary benign tumor. Clinical, radiological and histological records must all be considered to higher set up a differential prognosis with different fibro-osseous, benign or malignant tumors, and a preoperative biopsy must continually be carried out as some distance as possible. For massive tumors, the multidisciplinary technique together with preoperative arterial embolization must be taken into consideration as a part of preferred of care, to make certain entire resection with much less hazard of complications.
- DeFatta RJ, Verret DJ, Ducic Y, Carrick K (2006) Giant Myxomas of The Maxillofacial Skeleton and Skull Base. Otolaryngol Head Neck Surg 134:931-935. [Googlescholar][Crossref][Indexed]
- Yin H, Cai BW, An HM, You C (2007) Huge Primary Myxoma of Skull Base: A report of an uncommon case. Acta Neurochir (Wien) 149:713-717. [Googlescholar][Crossref][Indexed]
- Zhang L, Zhang M, Zhang J, Luo L, Xu Z, (2007) Myxoma of The Cranial Base. Surg Neurol 68:22-28. [Googlescholar][Crossref][Indexed]
- Indharti RS (2015) review of Nasa Fibromyxoma: Aggressive Behaviour? (Case Report). Bali Med J 4:132-135. [Googlescholar]
- Dhawan S, Agarwal N (2014) Myxoma of nose and paranasal sinuses. Curr Med Res Pract 4:286–288. [Googlescholar][Crossref]
- Yucel Ekici et al (2018) A Giant Congenital Soft Tissue Sinonasal Fibromyxoma of the Nose in a Newborn Baby. J Craniofac Surg 29:2114-2115. [Googlescholar] [Crossref] [Indexed]
- Shivakumar GC, Sahana S (2010) Fibromyxoma of the maxilla: a case report. Int J Med Sci 9:36–41. [Googlescholar][Crossref]
- Berry S, Puri R (2006) Fibromyxoma of the maxilla. Otolaryngol Head Neck Surg 135:330–331. [Crossref][Indexed]
- Shah A, Lone P, Latoo S, Ahmed I, Malik A, et al. (2011) Odontogenic myxoma of the maxilla: a report of a rare case and review on histogenetic and concepts. Natl J Maxillofac Surg 2:189–195.[Googlescholar] [Crossref][Indexed]
- Dietrich EM, Papaemmanouil S, Koloutsos G, Antoniades H, Antoniades K (2011) Odontogenic fibromyxoma of the maxilla: a case report and review of the literature. Case Rep Med 2011:238712. [Googlescholar] [Crossref] [Indexed]
- Reddy G, Kumar BS, Muppa R, Regonda SK, Tvs HK (2013) Odontogenic Fibromyxoma of Maxilla: A Rare Case Report. Case Rep Dent 2013:345479. [Googlescholar][Crossref][Indexed]
- Speight PM, Carlos R (2006) Maxillofacial fibro-osseous lesions. Curr Diagn Pathol 12:1-10. [Googlescholar][Crossref]