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Case Reports
. 2025 Jan 7;2025(1):rjae831.
doi: 10.1093/jscr/rjae831. eCollection 2025 Jan.

Surgical management of an extensive nasal mass in an adolescent: insights from diagnostic imaging and histopathology

Sebastian Asteguieta  1 , Carlos Diaz  1 , Javier Alarcon  1 , Vanessa Godinez  1
Affiliations
Case Reports

Surgical management of an extensive nasal mass in an adolescent: insights from diagnostic imaging and histopathology

Sebastian Asteguieta et al. J Surg Case Rep. .

Abstract

A 17-year-old female presented with a mass in the right nasal fossa and eye protrusion. Imaging revealed a large osseous mass originating from the right turbinates, causing exophthalmos without tissue invasion. A partial resection via the Caldwell-Luc approach was performed, but hemodynamic instability halted the procedure, leaving a residual mass. Histopathology confirmed an osseous lesion with osteoblasts in a hypocellular stroma. The patient required blood transfusions postoperatively due to significant blood loss, but recovered well with antibiotics and supplements and was discharged after mild nausea was managed.

Keywords: adolescent patients; differential diagnosis; exophthalmos; nasal mass; ocular proptosis.

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Conflict of interest statement

None declared.

Figures

Figure 1
Figure 1
Ossifying fibroma lateral right eye displacement.
Figure 2
Figure 2
(A) Macroscopic examination of ossifying fibroma, (B) CT.
See this image and copyright information in PMC

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