A Neurofibroma Arising from the Nasal Septum / 대한이비인후과학회지

ABSTRACT

Neurofibroma rarely occurs as a solitary lesion but mostly occurs as part of neurofibromatosis and reports of neurofibromas developed in the nasal cavity or paranasal sinus are very rare. We present here a case of neurofibroma in a 57 year-old female who complained of purulent rhinorrhea, nasal obstruction and epiphora, all of which persisted for a year. Anterior rhinoscopic examination showed huge polypoid mass in the right nasal cavity, and CT/MRI revealed an expansive, highly enhancing mass in the right nasal cavity remodeling the right lateral nasal wall, the middle turbinate and the inferior turbinate. The radiologic examinations also showed secretions in the right maxillary and ethmoid sinuses. We removed this tumor completely by transnasal endoscopic surgery. No evidence of recurrence was found by the twelfth month following the operation.