International Journal of Head and Neck Surgery

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VOLUME 2 , ISSUE 3 ( September-December, 2011 ) > List of Articles

CASE REPORT

Diagnostic and Surgical Challenge in the Management of a Rare Tumor of Skull Base and Face

K Senthil, A Ravi Kumar, Prasanna Kumar Saravanam

Citation Information : Senthil K, Kumar AR, Saravanam PK. Diagnostic and Surgical Challenge in the Management of a Rare Tumor of Skull Base and Face. Int J Head Neck Surg 2011; 2 (3):148-150.

DOI: 10.5005/jp-journals-10001-1072

Published Online: 00-12-2011

Copyright Statement:  Copyright © 2011; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim

We report a rare case of lateral skull base hamartoma. The diagnostic dilemma, the therapeutic challenge and the importance of interdisciplinary approach to decrease the morbidity has been discussed.

Method

We report a rare case of a 48-year-old male with swelling over the left side of face and cheek for a duration of 12 years, who presented to us only for his cosmetic deformity and no functional impairment, after a thorough clinical examination and series of invasive and noninvasive investigations, was diagnosed to have a rare tumor hamartoma of skull base and face. A complete surgical excision without morbidity was made possible only by a multidisciplinary team approach. The investigation and surgical approach to reduce per operative morbidity has been discussed. Microscopic examination of the excised specimen with special staining techniques was conclusive for hamartoma. Patient has been on a regular follow-up for the last 2 years with no evidence of recurrence and functional compromise.

Discussion

The rarity of the tumor, the difficulty in diagnosis, management and prognosis of hamartoma have been discussed.

Conclusion

Hamartoma of the infratemporal fossa is a rare tumor and those originating in this surgically challenging site are even rarer. Further their close proximity to vital structures in head and neck poses a formidable challenge in their diagnosis and surgical management to achieve a good cosmetic and functional result.


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