鼻尖部神经鞘瘤切除及同期鼻尖成形术2例

Two cases with schwannoma in nasal tip by surgery and nasal tip plasty

目的通过近期相关文献复习了解鼻尖部神经鞘瘤的病史病理特点、临床表现和诊治,在外科切除的同时行鼻尖成形术。方法报告2例鼻尖部神经鞘瘤的临床病理特点,同期行鼻尖成形术,其中1例应用自体鼻中隔软骨行鼻尖成形术。结果病理显示神经鞘瘤,2例患者均对外鼻形态满意。结论鼻尖部神经鞘瘤临床少见,在外科切除的同时应用自体鼻中隔软骨行鼻尖成形术可以得到满意的外鼻形态。

Objective To review relevant literature by discussing the characteristics, pathological identity, clinical manifastations, surgical treatment combined with nasal tip plasty of nasal schwannoma. Methods Clinical and pathological data of two patients suffering from schwannoma in nasal tips was analyzed and relevant literature was reviewed. This two patients were cured by surgery, and one of them accepted the nasal tip plasty of autogenous septal cartilage transplantation. Result The pathological diagnosis was schwannoma in nasal tip. Both of them were very satisfied with the morphology of their noses. Conclusion Schwannoma can be treated by surgery with good prognosis. These patients can obtain good morphology of their noses by autogenous septal cartilage transplantation.