A Dangerous Adenoidectomy
DOI:
https://doi.org/10.12970/2308-7978.2017.05.01Keywords:
adenoidectomy, complications, chordoma, rhinopharynx, adenoid hypertrophy.Abstract
Chordomas are rare, slow-growing tumors, resulting from the notochord (an embryonic mesodermal structure that gives rise to the axial skeleton). They comprise less than 1 % of CNS tumors. Although chordomas predominantly affect middle-aged or elderly adults, they are also seen in the pediatric population. It rarely affects children and adolescents (<5 % of all chordomas cases). The Authors present a case of skull base chordoma invading the nasopharynx and pushing the adenoids in nasal choana thus simulating an adenoidal hypertrophy.References
[1] Demirbilek N, Evren C, Altun U. Postadenoidectomy hemorrhage: how we do it? Int J Clin Exp Med 2015; 8: 2799-803.
[2] Jarvis SJ, Millar JA, Pittore B, Al Safi W. Cerebral abscess following adenotonsillectomy: a rare complication. Acta Otorhinolaryngol Ital 2011; 31: 253-55.
[3] Moreno-Luna R, Cardenas Ruiz-Valdepenas E, Tato JI, Rivero-Garvia M, Marquez-Rivas J, Mochon Martin A. Basiespinal cerebrospinal fluid leak as complication after adenoidectomy: case report and literature review. World Neurosurgery 2016; 93: 484. https://doi.org/10.1016/j.wneu.2016.07.053
[4] Benítez Linero I, Fernández Alguacil A, Sánchez Carrillo F. Cerebrospinal fluid leak after adenoidectomy: a case report. European Journal of Anaesthesiology 2013; 30: 157. https://doi.org/10.1097/00003643-201306001-00490
[5] Salazar Guilarte JX, Sancho Mestre M, Gras Albert JR. Extraosseous chordoma of the nasopharynx in paediatric age. Acta Otorrinolaringol Esp 2012; 63: 321-23. https://doi.org/10.1016/j.otorri.2011.02.001
[6] Shidoh S, Toda M, Kawase T, Nakajima H, Tomita T, Ogawa K,Yoshida K. Transoral vs. endoscopic endonasal approach for clival/upper cervical chordoma. Neurol Med Chir 2014; 54: 991-98. https://doi.org/10.2176/nmc.st.2014-0135
[7] Bilginer B, Türk CC, Narin F, Hanalioglu S, Oguz KK, Ozgen B, Soylemezoglu F, Akalan N. Enigmatic entity in childhood: clival chordoma from a tertiary center’s perspective. Acta Neurochir 2015; 157: 1587-93. https://doi.org/10.1007/s00701-015-2510-9
[8] Wang K, Wang L, Wu Z, Tian K, Ren C, Jia G, Zhang L, Zhang J. Bone invasiveness is associated with prognosis in clivus chordomas. J Clin Neurosci 2016; 27: 147-52. https://doi.org/10.1016/j.jocn.2015.05.073
[9] Vinke RS, Lamers EC, Kusters B, van Lindert EJ. Intradural prepontine chordoma in an 11-year-old boy. A case report. Childs Nerv Syst 2016; 32: 169-73. https://doi.org/10.1007/s00381-015-2818-z
[10] Vellutini Ede A, Balsalobre L, Hermann DR, Stamm AC. The endoscopic endonasal approach for extradural and intradural clivus lesions. World Neurosurg 2014; 82: 106-15. https://doi.org/10.1016/j.wneu.2014.07.031
[11] Tsitouras V, Wang S, Dirks P, Drake J, Bouffet E, Hawkins C, Laughlin S, Rutka JT. Management and outcome of chordomas in the pediatric population: The Hospital for Sick Children experience and review of the literature. J Clin Neurosci 2016; 34: 169-176. https://doi.org/10.1016/j.jocn.2016.06.003
[12] Rombi B, Ares C, Hug EB, Schneider R, Goitein G, Staab A, Albertini F, Bolsi A, Lomax AJ, Timmermann B. Spotscanning proton radiation therapy for pediatric chordoma and chondrosarcoma: clinical outcome of 26 patients treated at Paul Scherrer institute. Int J Radiat Oncol Biol Phys 2013; 86: 578-84. https://doi.org/10.1016/j.ijrobp.2013.02.026
[13] Yadav R, Sharma MC, Malgulwar PB, Pathak P, Sigamani E, Suri V, Sarkar C, Kumar A, Singh M, Sharma BS, Garg A, Bakhshi S, Faruq M. Prognostic value of MIB-1, p53, epidermal growth factor receptor, and INI1 in childhood chordomas. Neuro-Oncology 2014; 16: 372-81. https://doi.org/10.1093/neuonc/not228
[14] Mizoe JE. Review of carbon ion radiotherapy for skull base tumors (especially chordomas). Rep Pract Oncol Radiother 2016; 21: 356-60. https://doi.org/10.1016/j.rpor.2015.01.008
[15] Al-Rahawan MM, Siebert JD, Mitchell CS, Smith SD. Durable complete response to chemotherapy in an infant with a clival chordoma. Pediatr Blood Cancer 2012; 59: 323-5. https://doi.org/10.1002/pbc.23297
[16] Dhall G, Traverso M, Finlay JL, Shane L, Gonzalez-Gomez I, Jubran R. The role of chemotherapy in pediatric clival chordomas. J Neurooncol 2011; 103: 657-62. https://doi.org/10.1007/s11060-010-0441-0
[17] Baldassari CM, Choi S. Assessing adenoid hypertrophy in children: X-ray or nasal endoscopy? Laryngoscope 2014; 124: 1509-10. https://doi.org/10.1002/lary.24366