Girl with tumor compressing nose, for decades breathing only through mouth
Báo Thanh niên•04/10/2023
On October 3, Dr. Nguyen Phan Tu Dung, General Director of JW Korean Hospital (HCMC), said that through medical history, the patient said that since childhood, her family discovered a pea-sized tumor on the right side of her nose.
3 unsuccessful surgeries
Over time, the tumor grew larger and larger. Until grade 3, her family took her to a general hospital to have surgery to remove the tumor. She thought she had gotten rid of that stubborn tumor, but unexpectedly, after a while, the tumor continued to recur in the same location with an increasingly fast and larger growth rate. In 2015, Ms. D. was taken by her family to the old general hospital to continue to have the tumor removed. But the nightmare continued to haunt her, the tumor once again recurred, compressing the right nostril, almost blocking one side of the patient's respiratory tract. Ms. D. continued to undergo a major surgery to remove the tumor for the third time in 2019 at an international hospital. But happiness still did not smile on her. The tumor continued to recur, blocking one side of the airway, making Ms. D. unable to breathe like a normal person, and had to breathe through her mouth for many years.
Ms. NTD had a tumor compressing her right nostril.
The tumor ate into the alveolar bone.
Through clinical examination and imaging diagnosis, Dr. Nguyen Phan Tu Dung assessed the possibility of this being a neurofibroma. The tumor not only invaded the nostrils, but also invaded deep into the nasal cavity. To treat it, there was no other way but to surgically remove the tumor. At noon on October 2, the surgery to remove the tumor for patient D. officially took place. Before performing the surgery, Dr. Tu Dung considered carefully the choice of surgical approach. It was impossible to operate on the outside of the face because of the high possibility of causing unsightly scars. After consultation, the doctors decided to perform the surgery from inside the oral cavity. However, the team later discovered that the tumor not only invaded the nostrils, but also penetrated deep into the bone of the roots of teeth 3, 4, 5, invading the patient's oral cavity.
The tumor after being removed from the nasal area.
After 3 hours of surgery, the team removed the entire tumor measuring nearly 5x3 cm. "The biggest challenge of this surgery was that the tumor had spread deep into the oral cavity, so the team had to carefully make each small incision so as not to cut the lip-lifting muscle, while also preserving the patient's nose. Currently, the tumor has been almost completely removed, minimizing the possibility of tumor recurrence in the future. Hopefully, this will be the last surgery the patient has to undergo," Dr. Dung shared.
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