Naso-Pharyngeal Fibroma Extending through Sphenomaxillary Fossa to Cheek

Abstract

By IRWIN MOORE, M.Ch. PATIENT, a female, aged 19, was first seen by exhibitor, on August 16, complaining of nasal obstruction for the past three months, accompanied by a tbick yellow discharge from the right nostril. Recently, vision of the right eye became slightly blurred, and in May she attended the Western Ophthalmic Hospital, where the right lacrymal sac was washed out on account of purulent secretion and glasses ordered.At 8 years of age patient attended the Paddington Green Children's Hospital, complaining of a mass which had formed in the right nostril during the previous six months. Her tonsils and adenoids were removed at this time by Mr. Elphick, and reference to the notes of her case records that " granulations " were also removed from the right nostril.Marked broadening of the nose with separation of the nasal bones. The right naris is completely filled by a hard fleshy growth which is presenting in the vestibule, and has pushed the septum over to the left side. Posteriorly the growth is seen occluding the right choana, likewise in this position pushing the septum to the left.Here the growth is of a more polypoid character. No history of any bleeding. There is slight protrusion of the right eye.X-ray examination shows a dense opacity in the right side of the nose, pushing the septum to the left. This opacity involves the antral wall on the right, and invades the antrum and the right ethmoid cells. (F. M. Allchin.) Naso-pharyngeal Fibroma extending through Sphenomaxillary Fossa to Cheek.By LESLIE POWELL, M.B.A BOY, aged 15. A small nodule can be seen with the post-nasal mirror on the right side which does not appear to be growing.The swelling of the cheek was thought to be in the parotid. The naso-pharyngeal tumour was removed in March, 1923, but recurred, and was removed again in July, 1924. The swelling in the cheek was traced back to the spheno-maxillary fossa and was removed in August, 1924. Section: fibroma. Mr. E. BROUGHTON BARNES, F.R.C.S.Ed. (introduced by Mr. E. D. D. Davis) exhibited (a) A Snare through which a Diathermy Current can be passed, intended for use in the Naso-pharynx, through the Mouth; (b) Tumour (Angio-fibroma) removed from Naso-Vpharynx of a boy of 13, with the Snare, entirely Bloodlessly.