ABSTRACT
Intranasal gliomas are challenging for several reasons. Their diagnosis may not be
immediately obvious at presentation. It is important to exclude an intracranial extension,
and for this some have suggested a craniotomy. We report a 9-day-old male infant in
whom an intranasal glioma that mimicked an encephalocele was successfully excised
by endoscopic approach after failure to excise it through a craniotomy. After more
than a 5-year follow-up, the patient is still free from the disease. An endoscopic
intranasal approach provides a safe and effective method for the management of nasal
glioma and does not result in postoperative facial scaring or deformity. Endoscopic
techniques provide excellent visualization and are preferable to the classic frontal
craniotomy to excluding intracranial extension of nasal glioma.
KEYWORDS
Nasal glioma - encephalocele - endoscopic - infancy
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Mu-Kuan ChenM.D. M.S. Ph.D.
Chief, Department of Otorhinolaryngology, Head and Neck Surgery, Changhua Christian
Hospital, Institute of Medical Research
No. 135 Nanhsiao Street, Changhua, 500, Taiwan
Email: 53780@cch.org.tw
