• J Craniofac Surg · Nov 2019

    Case Reports

    Resection of Septal Adenoid Cystic Carcinoma and Primary Reconstruction of the Surgical Defect via Open Rhinoplasty.

    • Lee Dong Kyu DK Department of Otorhinolaryngology, Head and Neck Surgery, Asan Medical Center, University of Ulsan, College of Medicine, Seoul, Republic of Korea. and Myeong Sang Yu.
    • Department of Otorhinolaryngology, Head and Neck Surgery, Asan Medical Center, University of Ulsan, College of Medicine, Seoul, Republic of Korea.
    • J Craniofac Surg. 2019 Nov 1; 30 (8): e703-e705.

    AbstractAdenoid cystic carcinoma is one of the most common minor salivary gland malignancies of the head and neck region. However, adenoid cystic carcinoma of the nasal septum is extremely rare. The authors herein report a case of a septal adenoid cystic carcinoma in a 68-year-old man who complained of nasal bleeding and nasal obstruction for several months. Diagnostic nasal endoscopy revealed a protruding mass arising from the anterosuperior part of the nasal septum. The tumor was removed with a safety margin using the open rhinoplasty approach and primary reconstruction of the surgical defect was performed using septal cartilage. Histopathology indicated an adenoid cystic carcinoma with cribriform pattern. Two years postoperatively, there was no evidence of recurrence, the functional and cosmetic results were good, and the patient was satisfied with the treatment outcome.

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