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According to the doctor that operated on the patient, his case was an ‘urgent’ and ‘rare’ one. The patient was ‘briefed about the necessity of surgery’ to remove the tumour as safely as possible.
A 29-year-old patient from Iraq had been grappling with nasal stuffiness and left eye protrusion for a while. He was diagnosed with left naso-maxillary Ewing’s sarcoma, for which he had even undergone trans-nasal endoscopic surgery eight months ago, followed by a post-op radiation therapy for sino-nasal Ewing’s sarcoma. Though the patient, Ahmad Hussain, underwent corrective surgeries, there was no relief. He continued to suffer from nasal stuffiness and slight left eye protrusion. Then, he decided to get a second opinion. Read on to find out what happened next.
What Is Ewing Sarcoma (ES)?
According to the National Institutes of Health (NIH), Ewing sarcoma of the sinonasal tract and ‘associated primitive neuroectodermal tumours’ are rare.
In this case, the patient got in touch with Dr Harnarayan Singh, director and head of department of neurosurgery at SHALBY Sanar International Hospitals, Gurugram. It was found after a thorough evaluation and crucial investigations that Hussain had ‘mild non-pulsatile proptosis’ in the left eye and a ‘blocked left nasal airway’ — indicative of a residual left naso-maxillary tumour (Ewing’s sarcoma).
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Dr Singh said that Hussain’s case was an ‘urgent’ one and he was ‘briefed about the necessity of surgery’ to remove the tumour as safely as possible.
What Happened During The Surgery?
During the operation, doctors discovered that the tumour did not only fill the left nasal cavity, it also protruded into the right nasal cavity. The patient was administered general anaesthesia; he underwent an endo-nasal endoscopy for a ‘near total excision’ of the tumour.
“Medical treatments can be complex and nerve-wracking, especially when faced with conditions like Ewing’s sarcoma,” the doctor pointed out. Finding the right surgeon, who displays empathy as well as expertise, can be life-changing, he added. In this patient’s case, he underwent ‘skull base surgery utilising an endoscopic nasal approach’ to resolve his medical condition.
Post-Operative Recovery
The patient’s postoperative recovery was smooth. He was closely-monitored in the ward and showed ‘steady vitals’, ultimately being discharged in a stable condition.
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“This skull base surgery was performed trans-nasally, ensuring minimal invasiveness, with zero cuts. With a multi-disciplinary approach, we ensured the best outcome for the patient in a relatively short hospital stay,” Dr Singh, who performed the surgery, concluded.
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