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Oral and Maxillofacial Surgery
Published in: Oral and Maxillofacial Surgery 3/2009

01-09-2009 | Case Report

Large olfactory neuroblastoma (esthesioneuroblastoma) surgically treated with an Altemir technique modification: a case report

Authors: Nikolaos Papadogeorgakis, Vassilis Petsinis, Efstathios Eleftheriades, Stefanos Dimtsas, Dimitra Protopappa, Constantinos Alexandridis

Published in: Oral and Maxillofacial Surgery | Issue 3/2009

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Abstract

Introduction

Olfactory neuroblastomas are rare malignant tumors that usually occur in the upper nasal cavity. The purpose of this paper is to present a case of a large olfactory neuroblastoma filling the entire nasal cavity, treated with an Altemir technique modification.

Methods

A 39-year-old woman presented with a large tumor of the nasal cavity. After the laboratory examinations, the tumor was classified as a Kadish stage A olfactory neuroblastoma. The selected treatment was the surgical excision after an Altemir technique modification combined with midfacial degloving and additional radiotherapy.

Results

Histopathology revealed a Hyams grade III olfactory neuroblastoma completely removed. Although the patient refused the additional radiotherapy, 18 months postoperatively, there were no signs of recurrence, and the patient shows big improvement on her sense of smell.

Conclusions

Large olfactory neuroblastomas filling the entire nasal cavity extending back to the postnasal space can be completely removed using a transfacial approach as the Altemir technique modification is.
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Metadata
Title
Large olfactory neuroblastoma (esthesioneuroblastoma) surgically treated with an Altemir technique modification: a case report
Authors
Nikolaos Papadogeorgakis
Vassilis Petsinis
Efstathios Eleftheriades
Stefanos Dimtsas
Dimitra Protopappa
Constantinos Alexandridis
Publication date
01-09-2009
Publisher
Springer-Verlag
Published in
Oral and Maxillofacial Surgery / Issue 3/2009
Print ISSN: 1865-1550
Electronic ISSN: 1865-1569
DOI
https://doi.org/10.1007/s10006-009-0160-x

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