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Nasopharyngeal hamartoma: importance of routine complete nasal examination

Published online by Cambridge University Press:  16 March 2006

David Owens
Affiliation:
17 Beverley Way, Chippenham, Wiltshire, SN14 0XS, UK.
David Alderson
Affiliation:
Royal United Hospital Bath, and Torbay Hospital, Torquay, Devon, UK.
Consuelo Garrido
Affiliation:
Royal United Hospital Bath, and Torbay Hospital, Torquay, Devon, UK.

Abstract

The authors report clinical experience in managing an 82-year-old female presenting with long-standing bilateral nasal obstruction resulting from a nasopharyngeal mass. The patient had undergone a number of treatments including surgery. The previous examinations, investigations and treatment had all been performed within the previous 10 years and although examination had been documented there was no evidence on review of the notes that the nasopharynx had been inspected either by nasendoscopy or indirectly. The mass was removed via a combined nasal and oral approach. Histopathological examination of the specimen was consistent with mesenchymal hamartoma. In addition to describing a rare presentation the authors believe this case highlights the importance of complete examination in all patients with nasal symptoms

Type
Research Article
Copyright
© 2004 Royal Society of Medicine Press

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