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  Vol. 130 No. 4, April 2004 TABLE OF CONTENTS
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  Clinical Problem Solving: Pathology
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 •General Rhinology
 •Neoplasms of Head & Neck
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Pathology Quiz Case 2

Donato Calista, MD; Massimo Morri, MD; Luca Riccioni, MD; Massimo Bassi, MD; Claudio Marchetti, MD
"M. Bufalini" Hospital Cesena, Italy

Arch Otolaryngol Head Neck Surg. 2004;130:475.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

An 85-year-old man presented with a 3-month history of congestion and epistaxis in his right nasal cavity. His medical history was unremarkable except for hypertension. Clinical examination revealed a nasal obstruction. A computed tomographic scan showed an expansive mass involving the right inferior turbinate and the homolateral ethmoidal region (Figure 1). Surgery was performed with the patient under general anesthesia. The following technique was used: nasal flap rotation and exposure of the neoplastic mass, "box" resection of the right lateral nasal cavity and nasal septum, and partial medial maxillectomy. Macroscopically, the lesion appeared as a 2 x 3-cm, blue-black, ulcerated mass extensively infiltrating the inferior turbinate but apparently sparing the bone (Figure 2). The reconstruction of the nasal pyramid was achieved through nasal flap rotation fixed with a titanium miniplate. The . . . [Full Text of this Article]







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