Nasal leiomyoma presenting as sphenopalatine neuralgia: a case report and literature review

Leiomyoma of the nasal cavity constitutes less than 1 of all leiomyoma cases and is known to occur predominantly among the adult female population. Traditionally, intranasal leiomyoma presents with nasal obstruction and epistaxis. Herein, we report a case of solid-pattern leiomyoma arising from the...

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Main Authors: E-ting, Wannitta Wong, Saniasiaya, Jeyasakthy, Abdul Ghani, Fauzah, Ibrahim, Azliza, Tze, Liang Loh, Zakaria, Atiqah Farah
Format: Article
Published: University of Toronto * Medical Society 2023
Online Access:http://psasir.upm.edu.my/id/eprint/110055/
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author E-ting, Wannitta Wong
Saniasiaya, Jeyasakthy
Abdul Ghani, Fauzah
Ibrahim, Azliza
Tze, Liang Loh
Zakaria, Atiqah Farah
author_facet E-ting, Wannitta Wong
Saniasiaya, Jeyasakthy
Abdul Ghani, Fauzah
Ibrahim, Azliza
Tze, Liang Loh
Zakaria, Atiqah Farah
author_sort E-ting, Wannitta Wong
building UPM Institutional Repository
collection Online Access
description Leiomyoma of the nasal cavity constitutes less than 1 of all leiomyoma cases and is known to occur predominantly among the adult female population. Traditionally, intranasal leiomyoma presents with nasal obstruction and epistaxis. Herein, we report a case of solid-pattern leiomyoma arising from the right inferior turbinate, presenting exclusively as severe right jaw and neck pain, made worse by neck movements, swallowing, and even sneezing. Pain was associated with facial spasm and had significant impact on her quality of life. Endoscopic excision of the tumour successfully alleviated the patient’s symptoms, requiring no further management. An extensive literature search revealed that intranasal leiomyoma could be successfully managed by endoscopic excision with no recurrence. We highlight the importance of a thorough intranasal endoscopic examination in all patients with persistent neuropathic pain of the head and neck.
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institution Universiti Putra Malaysia
institution_category Local University
last_indexed 2025-11-15T14:04:25Z
publishDate 2023
publisher University of Toronto * Medical Society
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spelling upm-1100552024-09-09T04:50:56Z http://psasir.upm.edu.my/id/eprint/110055/ Nasal leiomyoma presenting as sphenopalatine neuralgia: a case report and literature review E-ting, Wannitta Wong Saniasiaya, Jeyasakthy Abdul Ghani, Fauzah Ibrahim, Azliza Tze, Liang Loh Zakaria, Atiqah Farah Leiomyoma of the nasal cavity constitutes less than 1 of all leiomyoma cases and is known to occur predominantly among the adult female population. Traditionally, intranasal leiomyoma presents with nasal obstruction and epistaxis. Herein, we report a case of solid-pattern leiomyoma arising from the right inferior turbinate, presenting exclusively as severe right jaw and neck pain, made worse by neck movements, swallowing, and even sneezing. Pain was associated with facial spasm and had significant impact on her quality of life. Endoscopic excision of the tumour successfully alleviated the patient’s symptoms, requiring no further management. An extensive literature search revealed that intranasal leiomyoma could be successfully managed by endoscopic excision with no recurrence. We highlight the importance of a thorough intranasal endoscopic examination in all patients with persistent neuropathic pain of the head and neck. University of Toronto * Medical Society 2023 Article PeerReviewed E-ting, Wannitta Wong and Saniasiaya, Jeyasakthy and Abdul Ghani, Fauzah and Ibrahim, Azliza and Tze, Liang Loh and Zakaria, Atiqah Farah (2023) Nasal leiomyoma presenting as sphenopalatine neuralgia: a case report and literature review. University Of Toronto Medical Journal, 100 (2). 53 -55. ISSN 0833-2207; ESSN: 1913-5440 https://jps.library.utoronto.ca/index.php/utmj/article/view/39000 10.33137/utmj.v100i2.39000
spellingShingle E-ting, Wannitta Wong
Saniasiaya, Jeyasakthy
Abdul Ghani, Fauzah
Ibrahim, Azliza
Tze, Liang Loh
Zakaria, Atiqah Farah
Nasal leiomyoma presenting as sphenopalatine neuralgia: a case report and literature review
title Nasal leiomyoma presenting as sphenopalatine neuralgia: a case report and literature review
title_full Nasal leiomyoma presenting as sphenopalatine neuralgia: a case report and literature review
title_fullStr Nasal leiomyoma presenting as sphenopalatine neuralgia: a case report and literature review
title_full_unstemmed Nasal leiomyoma presenting as sphenopalatine neuralgia: a case report and literature review
title_short Nasal leiomyoma presenting as sphenopalatine neuralgia: a case report and literature review
title_sort nasal leiomyoma presenting as sphenopalatine neuralgia: a case report and literature review
url http://psasir.upm.edu.my/id/eprint/110055/
http://psasir.upm.edu.my/id/eprint/110055/
http://psasir.upm.edu.my/id/eprint/110055/