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Voluminous Solitary Neurofibroma of the Nasosinus Cavities in an Undermedicalized Context: Reflection on a Case Collected in Bamako

Received: 20 May 2022    Accepted: 7 June 2022    Published: 16 June 2022
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Abstract

Neurofibroma is a benign tumor of the connective tissue developed mainly at the expense of the endoneurium of the peripheral nerves. Histologically, there are two types of neurofibroma: plexiform and solitary. The objective of this work was to report a case of solitary nasosinusal neurofibroma in order to discuss diagnostic and therapeutic difficulties in a developing country. BA aged 17, with no known pathological history, was admitted to the service for a left nasal obstruction which had been evolving for about 4 years. The endonasal examination found a congestive mass, not bleeding on contact, filling the entire left nasal fossa pushing back the nasal septum on the right. Computed tomography showed a heterogeneous dense tissue process with cystic areas, filling the left nasal fossa with extension to the posterior sinuses, left maxilla. The patient was operated under general anesthesia via the left paralateronasal route. The tumor was difficult to cleave but not friable and not bleeding. The histological examination concludes to a neurofibroma. Conclusion: Solitary neurofibromas are uncommon and remain poorly understood. Literature data, rare, do not answer all the questions.

Published in International Journal of Otorhinolaryngology (Volume 8, Issue 1)
DOI 10.11648/j.ijo.20220801.14
Page(s) 21-24
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Neurofibroma, Nasosinus Cavities, ENT Surgery

References
[1] A. Tall, C. N’diaye, E. S. Dioma, I. Thiamb. Neurofibrome solitaire à point de départ septal postérieur: exérèse par voie endoscopique endonasale. Annales françaises d’oto-rhino-laryngologie et de pathologie cervico-faciale. 2015; 132: 210-212.
[2] H. J. Min, K. S. Kim / Annales françaises d’oto-rhino-laryngologie et de pathologie cervico-faciale. 2017; 134: 266–268.
[3] Rameh C, Husseini S, Tawil A, et al. Solitary plexiform neurofibroma of the nasaltip: case report and review of the literature. Int J Pediatr Otorhinolaryngol Extra. 2007; 2: 116-9.
[4] Khorgami Z, Nasiri S, Rezakhanlu F, et al. Malignant Schwannoma of anteriorabdominal wall: report of a case. J Clin Med Res. 2009; 1: 233-6.
[5] Ndiaye M. M, Diop R, Zegbe N, Toure S, Crezoit Ge. Revue Africaine et Malgache pour la Recherche Scientifique / Sciences de la Santé. 2020; 2 (2): 62-66.
[6] Darren Yap, Hannah Fox, and Julia Addams-Williams. Unusual Case of a Proptosed Eye: Isolated Right Maxillary Neurofibroma. Case Reports in Pathology. 2016, Article ID 4294729, 5 pages. http://dx.doi.org/10.1155/2016/4294729
[7] M. D. Prakash, B. Viswanatha, and G. E. D’Souza, “A rare case of isolated nasal neurofibroma mimicking sinonasal polyp, Research in Otolaryngology, 2014; 3 (3): 49-51.
[8] C. Adnane, T. Adouly, L. Elhani, and M. Mahtar, “Solitary neurofibroma ofmaxillary sinus a rare case report, Journal of Head & Neck Physicians and Surgeons, 2014; 2 (2): 136-141.
[9] Kohli PS, Goel K. Endoscopic excision of solitary neurofibroma arising fromposterior nasal septum. Clin Rhinol Int J 2011; 4 (1): 43-6.
[10] E. E. M. Nao, A. Tall, M. Ndiaye, C. Ndiaye, M. S. Diouf, A. Thiam, A. B. Djafarou, B. K. Diallo, I. C. Ndiaye, R. Diouf, E. M. Diop. Neurofibrome isolé du sinus maxillaire. annales d’ oto-laryngologie et chirurgie cervico-faciale 2009; 126: 256 -258.
[11] Józef Komorski, Łukasz Petz, Jan Nienartowicz, Łukasz Pałka. Neurofibroma of sinus maxillae. otolaryngologia polska 2014; 68: 94 -98.
[12] Parvinderjit Singh Kohli, Kanu Goel. Endoscopic Excision of Solitary Neurofibroma Arising from Posterior Nasal Septum Clinical Rhinology: An International Journal, January-April 2011; 4 (1): 43-46.
[13] Mylanahalli Doddarangiah Prakash, Borlingegowda Viswanatha, Glen Edwin D’Souza. A Rare Case of Isolated Nasal Neurofibroma Mimicking Sinonasal Polyp. Research in Otolaryngology 2014, 3 (3): 49-51 DOI: 10.5923/j.otolaryn.20140303.04.
[14] Sudhir B. Sharma and Paul Hong. Solitary Neurofibroma of the Frontal Sinus. Case Reports in Otolaryngology Volume 2012, Article ID 373808, 4 pages doi: 10.1155/2012/373808.
[15] Marina R. P. da Rosa, DDS, Andre Luis Ribeiro Ribeiro, DDS, MSc, Silvio A. F. de Menezes, DDS, MSc, Solitary Giant Neurofibroma of the Mental Nerve: A Trauma-Related Lesion? The Journal of Craniofacial Surgery 2013; 24 (3): 247-51.
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  • APA Style

    Kassim Diarra, Nfaly Konate, Yaya Dembele, Harouna Sanogo, Kalifa Coulibaly, et al. (2022). Voluminous Solitary Neurofibroma of the Nasosinus Cavities in an Undermedicalized Context: Reflection on a Case Collected in Bamako. International Journal of Otorhinolaryngology, 8(1), 21-24. https://doi.org/10.11648/j.ijo.20220801.14

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    ACS Style

    Kassim Diarra; Nfaly Konate; Yaya Dembele; Harouna Sanogo; Kalifa Coulibaly, et al. Voluminous Solitary Neurofibroma of the Nasosinus Cavities in an Undermedicalized Context: Reflection on a Case Collected in Bamako. Int. J. Otorhinolaryngol. 2022, 8(1), 21-24. doi: 10.11648/j.ijo.20220801.14

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    AMA Style

    Kassim Diarra, Nfaly Konate, Yaya Dembele, Harouna Sanogo, Kalifa Coulibaly, et al. Voluminous Solitary Neurofibroma of the Nasosinus Cavities in an Undermedicalized Context: Reflection on a Case Collected in Bamako. Int J Otorhinolaryngol. 2022;8(1):21-24. doi: 10.11648/j.ijo.20220801.14

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  • @article{10.11648/j.ijo.20220801.14,
      author = {Kassim Diarra and Nfaly Konate and Yaya Dembele and Harouna Sanogo and Kalifa Coulibaly and Fatogoma Issa Kone and Cisse Naoma and Boubacary Guindo and Siaka Soumaoro and Doumbia Kadidiatou Singare and Mohamed Amadou Keita},
      title = {Voluminous Solitary Neurofibroma of the Nasosinus Cavities in an Undermedicalized Context: Reflection on a Case Collected in Bamako},
      journal = {International Journal of Otorhinolaryngology},
      volume = {8},
      number = {1},
      pages = {21-24},
      doi = {10.11648/j.ijo.20220801.14},
      url = {https://doi.org/10.11648/j.ijo.20220801.14},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijo.20220801.14},
      abstract = {Neurofibroma is a benign tumor of the connective tissue developed mainly at the expense of the endoneurium of the peripheral nerves. Histologically, there are two types of neurofibroma: plexiform and solitary. The objective of this work was to report a case of solitary nasosinusal neurofibroma in order to discuss diagnostic and therapeutic difficulties in a developing country. BA aged 17, with no known pathological history, was admitted to the service for a left nasal obstruction which had been evolving for about 4 years. The endonasal examination found a congestive mass, not bleeding on contact, filling the entire left nasal fossa pushing back the nasal septum on the right. Computed tomography showed a heterogeneous dense tissue process with cystic areas, filling the left nasal fossa with extension to the posterior sinuses, left maxilla. The patient was operated under general anesthesia via the left paralateronasal route. The tumor was difficult to cleave but not friable and not bleeding. The histological examination concludes to a neurofibroma. Conclusion: Solitary neurofibromas are uncommon and remain poorly understood. Literature data, rare, do not answer all the questions.},
     year = {2022}
    }
    

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    T1  - Voluminous Solitary Neurofibroma of the Nasosinus Cavities in an Undermedicalized Context: Reflection on a Case Collected in Bamako
    AU  - Kassim Diarra
    AU  - Nfaly Konate
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    AU  - Fatogoma Issa Kone
    AU  - Cisse Naoma
    AU  - Boubacary Guindo
    AU  - Siaka Soumaoro
    AU  - Doumbia Kadidiatou Singare
    AU  - Mohamed Amadou Keita
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    DO  - 10.11648/j.ijo.20220801.14
    T2  - International Journal of Otorhinolaryngology
    JF  - International Journal of Otorhinolaryngology
    JO  - International Journal of Otorhinolaryngology
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    PB  - Science Publishing Group
    SN  - 2472-2413
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    AB  - Neurofibroma is a benign tumor of the connective tissue developed mainly at the expense of the endoneurium of the peripheral nerves. Histologically, there are two types of neurofibroma: plexiform and solitary. The objective of this work was to report a case of solitary nasosinusal neurofibroma in order to discuss diagnostic and therapeutic difficulties in a developing country. BA aged 17, with no known pathological history, was admitted to the service for a left nasal obstruction which had been evolving for about 4 years. The endonasal examination found a congestive mass, not bleeding on contact, filling the entire left nasal fossa pushing back the nasal septum on the right. Computed tomography showed a heterogeneous dense tissue process with cystic areas, filling the left nasal fossa with extension to the posterior sinuses, left maxilla. The patient was operated under general anesthesia via the left paralateronasal route. The tumor was difficult to cleave but not friable and not bleeding. The histological examination concludes to a neurofibroma. Conclusion: Solitary neurofibromas are uncommon and remain poorly understood. Literature data, rare, do not answer all the questions.
    VL  - 8
    IS  - 1
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Author Information
  • Department of Surgery, University Hospital Gabriel Toure, Bamako, Mali

  • Department of Surgery, University Hospital Gabriel Toure, Bamako, Mali

  • Army Polyclinic Kati, Bamako, Mali

  • Reference Health Center Kalanbancoro, Bamako, Mali

  • Department of Surgery, University Hospital Gabriel Toure, Bamako, Mali

  • Department of Surgery, University Hospital Gabriel Toure, Bamako, Mali

  • Department of Surgery, University Hospital Gabriel Toure, Bamako, Mali

  • Department of Surgery, University Hospital Gabriel Toure, Bamako, Mali

  • Department of Surgery, University Hospital Gabriel Toure, Bamako, Mali

  • Department of Surgery, University Hospital Gabriel Toure, Bamako, Mali

  • Department of Surgery, University Hospital Gabriel Toure, Bamako, Mali

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