Extranasal glioma surgery in a newborn: a case report

Year 2016, Volume: 26 Issue: 5, 311 - 314, 20.10.2016

Emel Cadallı Tatar Gökçe Aksoy Yıldırım Kemal Keseroğlu Ali Özdek Güleser Saylam Mehmet Hakan Korkmaz Reyhan Polat

Abstract

Nasal gliomas are rarely seen, congenital, benign and nonhereditary lesions. These are not true tumors that occur due to extradural malposition of ectopic glial tissue during embryologic development. These are generally diagnosed during childbirth and may have an intracranial extension with fibrous stalk. Treatment of these masses that cause nasal obstruction and cosmetic deformity according to location, is total excision. In this case report, we present an extranasal glioma case whose surgery was done when she was 11 days old. Nasal gliomas are congenital midline lesions in the newborn period and it is necessary to be careful in differential diagnosis and during surgery due to possible intracranial extension.

Keywords

Nasal glioma, newborn, surgery

Yenidoğanda ekstranazal gliom cerrahisi: Olgu sunumu

Abstract

Nazal gliomlar nadir görülen, doğuştan, benign, herediter olmayan lezyonlardır. Gerçek tümör olmamakla birlikte embriyolojik gelişim sırasında ekstradural bölgede ektopik glial dokunun yerleşmesi sonucu oluşurlar. Genellikle doğumda fark edilir ve fibröz sap ile intrakraniyal uzanımı olabilir. Yerleşim yerine göre nazal obstrüksiyon ve kozmetik deformiteye yol açan bu kitlelerin tedavisi total eksizyondur. Bu yazıda 11 günlük iken cerrahisi yapılan bir ekstranazal gliom olgusu sunuldu. Nazal gliomlar yenidoğan döneminde görülen doğuştan orta hat kitleleridir ve ayırıcı tanısının iyi yapılması ve olası bir intrakraniyal bağlantı nedeniyle cerrahisi sırasında dikkatli olunması gerekmektedir

Keywords

Nazal gliom, yenidoğan, cerrahi

References

• Younus M, Coode PE. Nasal glioma and encepha- locele: two separate entities. Report of two cases. J Neurosurg 1986;64:516-9.
• Rahbar R, Resto VA, Robson CD, Perez-Atayde AR, Goumnerova LC, McGill TJ, et al. Nasal glio- ma and encephalocele: diagnosis and management. Laryngoscope 2003;113:2069-77.
• Amanullah MM, Moazam F, Attar Z. The extranasal glioma-a cause of neonatal respiratory distress. J Pak Med Assoc 1996;46:61-2.
• Husein OF, Collins M, Kang DR. Neuroglial heteroto- pia causing neonatal airway obstruction: presentation, management, and literature review. Eur J Pediatr 2008;167:1351-5.
• Bent JP, Sessions RB. Congenital anomalies of the nose. In: Bailey BJ, Johnson JT, editors. Head and Neck Surgery-Otolaryngology. Vol. 1. 4th ed. Philadelphia: Lippincott Williams & Wilkins; 2006. p. 1217-27.
• Highton LR, Pay AD. An unusual midline nasal mass in a newborn. J Plast Reconstr Aesthet Surg 2009;62:695-6.
• Majithia A, Liyanage SH, Hewitt R, Grant WE. Adult nasal glioma presenting with visual loss. J Laryngol Otol 2010;124:1309-13.
• Yashar SS, Newbury RO, Cunningham BB. Congenital midline nasal mass in a toddler. Pediatr Dermatol 2000;17:62-4.
• Dasgupta NR, Bentz ML. Nasal gliomas: identification and differentiation from hemangiomas. J Craniofac Surg 2003;14:736-8.
• Harttrampf AC, Schupp W, Timme S, Niemeyer CM, Otten JE, Rössler J. Surgical management of extra- nasal nasal glioma. J Eur Acad Dermatol Venereol 2016;30:1209-11.
• Perna RB, Loughan AR, Le JA, Hertza J. Prenatal and perinatal anesthesia and the long-term cogni- tive sequelae: a review. Appl Neuropsychol Child 2015;4:65-71.