Korean J Otorhinolaryngol-Head Neck Surg.  2023 Aug;66(8):546-550. 10.3342/kjorl-hns.2022.01200.

A Case of Squamous Cell Carcinoma of Nasal Septum Removed Through the External Rhinoplasty Approach

• Lee SH
• Park JH
• Lee DB
• Lee SH

• KMID: 2545241
• DOI: http://doi.org/10.3342/kjorl-hns.2022.01200

Abstract

Primary tumors arising solely from the nasal septum are quite unusual. Moreover, malignant tumors arising from the nasal septum are rare and represent less than 9% of sinonasal malignancies. Of all reported cases of nasal septum carcinoma, squamous cell carcinoma is the most common type. Due to the rare prevalence, its clinical course and prognosis are not well established. In this article, we report a case of a 79-year-old male with nasal obstruction. Endoscopic examination showed an exophytic mass obstructing the right nasal cavity accompanied by polypoid mass in the left nasal cavity. Punch biopsy confirmed the diagnosis of squamous cell carcinoma by histopathology. Radiologic evaluation showed a large nasal cavity mass involving the nasal septum. The tumor was removed using the external rhinoplasty approach with a large septal resection, saving the nasal keystone area and the columella to prevent the external nose deformity.

Keyword

Approach; External; Nasal septum; Rhinoplasty; Squamous cell carcinoma