안면전위 접근법 및 두개안면 절제술을 통해 제거한 비강신경교세포종 1예

Esthesioneuroblastoma, a tumor of neural crest origin arising in the nasal cavity, is uncommon, may be difficult to diagnose, and frequently is not cured. We report a case of esthesioneuroblastoma that occurred high in the vault of the nasal cavity and extended to opposite ethmoid bone, superiorly to the anterior cranial fossa, posteriorly to the anterior wall of sphenoid sinus and base of temporal lobe, laterally to the orbital wall, and inferiorly to the nasal cavity and antrum. We recommend our experience with facial translocation approach and craniofacial resection of esthesioneuroblastoma followed by radiation as a unique treatment modality. (J Clinical Otolaryngol 2003;14:129-132)