Case Report of International Journal of Case Reports
Non-resolving acute sinusitis due to nasal hamartoma: a case report
Fausto Martinez, MD1,2, David Zambrano, MD1
1Department of Otolaryngology – Head and Neck Surgery, Rhinology & Skull Base Surgery, Hospital Vozandes Quito, Ecuador; 2Professor of Otolaryngology, Pontificia Universidad Católica del Ecuador
The paranasal sinuses are closely related to vital structures, and therefore, rhinosinusitis may lead to various dangerous complications. Nasal chondromesenchymal hamartoma is a rare benign lesion of the sinonasal tract in children and adolescents. We report the case of a 15-year-old patient with antibiotic-refractory acute sinusitis in whom a nasal tumor was identified and histopathologically diagnosed as a hamartoma. Therefore, the tumor was removed surgically to alleviate the patient’s symptoms. This case highlights the necessity of investigating the underlying cause if conventional treatment fails to resolve a mild disease like acute sinusitis. To the best of our knowledge, this is the first reported case of a chondro-osseous respiratory epithelial adenomatoid hamartoma presenting with acute sinusitis.
Keywords: nasal hamartoma, acute sinusitis, nasal endoscopy
How to cite this article:
Fausto Martinez, David Zambrano. Non-resolving acute sinusitis due to nasal hamartoma: a case report. International Journal of Case Reports, 2021, 5:233. DOI: 10.28933/ijcr-2021-06-2505
1. Al Yaeesh I, AlOmairin A, Al Shakhs A, Almomen A, Almomen Z, AlBahr A, et al. The serious complications of frontal sinusitis, a case series and literature review. J Surg Case Rep 2020;2020:rjaa474. https://doi.org/10.1093/jscr/rjaa474.
2. Chow AW, Benninger MS, Brook I, Brozek JL, Goldstein EJC, Hicks LA, et al. Executive summary: IDSA clinical practice guideline for acute bacterial rhinosinusitis in children and adults. Clin Infect Dis 2012;54:1041–5. https://doi.org/10.1093/cid/cir1043.
3. Vijayasundaram S, Gopalakrishnan S, Karthikeyan P, Vignesh R. Nasal chondromesenchymal hamartoma: a rare benign lesion in adult female. Indian J Otolaryngol Head Neck Surg 2021:1–3. https://doi.org/10 .1007/s12070-020-02333-7.
4. Fang G, Wang C, Piao Y, Zhang L. Chondro-osseous respiratory epithelial adenomatoid hamartoma of the nasal cavity. Pediatr Int 2016;58:229–231. https://doi.org/10.1111/ped.12777.
5. Villarreal IM, Pinilla M, Salas I, Garcia Y, López-Cortijo C. Respiratory epithelial adenomatoid hamartoma: A very rare entity originating from the lateral nasal wall. Eur Ann Otorhinolaryngol Head Neck Dis 2015;132:369–70. https://doi.org/10.101 6/j.anorl.2015.08.003.
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