We describe the case of a 24-year-old man who underwent open septorhinoplasty for the treatment of progressive nasal disfigurement caused by a nasal hump. Postoperative histopathology of the resected hump revealed that it was an osteochondroma. The patient showed no evidence of recurrence during 2 years of follow-up. To the best of our knowledge, this is the first case of an osteochondroma involving the nasal dorsum to be reported in the English-language literature.
Cartilaginous tumors are rare in the head and neck region. Chondromas are slowly growing asymptomatic tumors that are usually discovered incidentally. An osteochondroma can be considered a cartilage-covered osseous excrescence that arises from the surface of a bone. Osteochondromas occur as both multiple (hereditary multiple exostoses) and solitary lesions. Some arise spontaneously and others after an injury or exposure to radiation.