PMB surgeons perform unique surgery

2017-12-20 06:01
Dr Firoze Essa and Dr Stewart Chite during the operation.PHOTO:supplied

Dr Firoze Essa and Dr Stewart Chite during the operation.PHOTO:supplied

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IN a first for Mediclinic Pietermaritzburg, surgeons performed a complicated surgery to remove a tumour in the nasal cavity of a patient.

Dr Firoze Essa and Dr Stewart Chite performed this particular surgery for the first time last Wednesday.

The complex nature of the tumour meant that a neurosurgeon, Dr Chite and an otorhinolaryngologist (ENT), Dr Essa, were required.

The uniquely positioned tumour is known as an esthesioneuroblastoma (ENB) or olfactory neuroblastoma, and is an uncommon malignant tumour of the upper nasal cavity and anterior skull base.

The tumour is believed to originate from sensory neuroepithelial cells, also known as neuroectodermal olfactory cells.

“The location of the tumour and its proximity to the cranial cavity means that the esthesioneuroblastoma can be highly invasive and challenging to treat,” says Dr Chite.

A bilateral approach was taken in which Dr Essa operated via the nasal cavity, with neuro-navigation assistance, while Dr Chite approached the tumour from the top of the skull. Studies suggest that this approach provides better results in extracting the tumour.

A multidisciplinary approach to unique surgeries such as this allows us to perform intricate operations successfully.

The tumour, measuring 5cm x 3cm, was completely excised endoscopically from the nasal cavity.

The patient, Peter Edmonds, reported that he had suffered from nasal congestion for two years before the surgery.

“We aim to develop into a centre of excellence for oncological surgery pertaining to the head and neck, providing patients with the assurance that we can deliver on the expertise they have come to expect,” says Dr Essa.

Dr Essa and Dr Chite operate out of practices at Mediclinic Pietermaritzburg.

Hospital general manager Tabitha Lolliot is delighted with the innovative work being done at the hospital.

“We have the utmost faith in the doctors’ expertise and for our community to have access to such intricate surgeries at our hospital is definitely something. - Supplied.

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