Tian Weifang Ruobing Yuan Huiying Kan Xuan ZAKER Harbin reporter Liu Ju
Mr. Zhang (surnamed Hua) is 32 years old this year. Two years ago, he caught a bad cold and then lost his sense of smell. Not only could he not smell the taste, but he also could eat food. Gradually taste the same as chewing wax. Six months ago, not only did he not recover his sense of smell, but he also suffered from persistent nasal congestion. He often had nosebleeds while working, and he began to feel intermittent headaches around the brow bones and forehead, and he did not get better after taking anti-inflammatory drugs. The worsening symptoms made Mr. Zhang more vigilant, and he immediately came to Harbin Medical University Second Hospital for treatment.
↑ Otorhinolaryngology Head and Neck Surgery Director Sun Yanan removed for the patient The rare olfactory neuroblastoma needs to be surgically removed, but the tumor has a large area of invasion and has involved the brain tissue, making the operation very difficult.
Prof. Yanan Sun introduced that Mr. Zhang’s tumor grew rapidly and had invaded the brain in a large area. It was difficult to completely remove it with nasal endoscopy alone, and the tumor had seriously threatened the life of the patient. Based on the condition, Professor Sun Yanan invited Professor Guo Mian, the director of neurosurgery, to cooperate with MDT and jointly develop new surgical procedures for Mr. Zhang to perform minimally invasive endoscopic sinus surgery and neurosurgery at the same time. After more than 6 hours of operation, the team of Professor Yanan Sun and the team of Professor Guo Mian jointly completed the resection of the malignant tumor of the nasal skull base, the resection of the malignant tumor of the intracranial supratentorial tumor, and the reconstruction of the skull base under the nasal endoscopy, and successfully removed the olfactory neuroma for Mr. Zhang Cell tumor.
↑ Guo Mian, director of neurosurgery, performed intracranial supratentorial olfactory neuroblastic tumor resection and skull base reconstruction for the patient
Professor Sun Yanan reminded that olfactory neuroblastic tumor is a relatively rare type of neuroepithelium derived from the olfactory mucosa Cellular nasal skull base tumors, the initial symptoms are not obvious, there may be nasal congestion, nose bleeding, decreased sense of smell and other symptoms, which are very similar to the symptoms of colds and sinusitis.The developmental stage is also very concealed. Most patients have no symptoms in the early stage and often require CT or MRI to find out. Therefore, early detection and complete resection of olfactory neuroblastoma, supplemented by medical oncology treatment, are essential for a good recovery.
Editor Li Hongshuang
Duty Editor Wang Kun
[Source: ZAKER Harbin]
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