Management and surgical approach ingenuity for nasal fibro-osseous lesions at our facility: A case series of 15 patients.
To retrospectively evaluate our treatment algorithm and surgical approaches for nasal fibro-osseous lesions at our hospital. Fifteen patients with nasal fibro-osseous lesions treated from January 1, 2010, to January 31, 2020 were included. Among them, 13 patients who underwent surgery were divided into groups A and B, based on whether they were treated before or after the treatment algorithm was established. The extent of the lesion, surgical approach, and outcomes, including bone regrowth assessed postoperatively using computed tomography at 6 months, were analyzed. In group A, six cases were treated via endoscopy and two via a combined endoscopy and external approach. In group B, three cases were treated via endoscopy, one via combined endoscopy and external approach, and one combined with craniotomy. Two group A cases and no group B cases had residual lesions postoperatively. Postoperative bone regrowth occurred in three group A patients and no group B patients. Multi-angled approaches for nasal fibro-osseous lesions based on the unified treatment algorithms used in the study may lead to a reduction in postoperative recurrence and complication rates.
['Ebihara|Teru|T|', 'Omura|Kazuhiro|K|', 'Otori|Nobuyoshi|N|', 'Aoki|Satoshi|S|', 'Tochigi|Kosuke|K|', 'Takeda|Teppei|T|', 'Kojima|Hiromi|H|']
Algorithms Endoscopy Bone neoplasms Skull base