Girl with tumor compressing her nose, for decades she only breathed through her mouth
Báo Thanh niên•04/10/2023
On October 3, Dr. Nguyen Phan Tu Dung, General Director of JW Korea Hospital (HCMC), said that through medical history, the patient said that since she was a child, her family discovered a pimple the size of a bean on the right side of her nose.
3 failed surgeries
Over time, the tumor grew larger and larger. By the time she was in third grade, her family took her to a general hospital to have surgery to remove the tumor. She thought she had gotten rid of the 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 removing the tumor. 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 third major surgery to remove the tumor 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 has a tumor pressing on her right nostril.
Tumor eats deep into the tooth root 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 wings of the nose, but also invaded deep into the nasal cavity. For treatment, there was no other way than surgical removal of 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 a lot about choosing the surgical route. Surgery on the outside of the face was not possible 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 wings of the nose, but also penetrated deep into the bone of the roots of teeth number 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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