Marta Cajozzo, Beatriz Berenguer, Concepción Lorca-García, Juan Vicente Darriba Alles, Roberto García Leal, Elena de Tomás
Midline dermoid cysts are uncommon lesions that can lead to severe complications when an intracranial extension exists. We report the cases of two twin sisters referred to surgery for removal of the masses and the intracranial extension. They represent an additional example of familial nasal dermoid cysts, providing further support for a genetic basis for the disorder.
July 29, 2019: Pediatric Dermatology
Charles E Mackel, Anand Devaiah, James Holsapple, Justin M Moore
BACKGROUND: Pure fusiform aneurysms of the anterior communicating artery are rare. We describe a unique case of a patient with an anterior communicating artery fusiform aneurysm in the setting of several unusual cranial neurocristopathies, including a hypoplastic internal carotid artery, persistent craniopharyngeal canal, transphenoidal encephalocele, and ectopic, duplicated pituitary gland. We also review the literature on cranial base neurocristopathies and anterior communicating artery fusiform aneurysms...
June 13, 2019: World Neurosurgery
Onur Koç, Hakan H Tüz, Emre Tosun
Integrity of the palatal mucosa may be disrupted due to various pathological and congenital factors. In maxillofacial defects, the buccal fat pad has been used frequently to repair the palatal region and close oro-nasal communications. In this case report, the use of buccal fat pad for the closure of a surgical palatal defect is presented with a 3-year follow-up. A 75-year-old female patient visited our clinic with a complaint of a non-adaptive maxillary denture. During clinical and radiographic examination, a well-demarcated mass on the palatal mucosa extending to the soft palate of the left side was observed...
May 10, 2019: Journal of Craniofacial Surgery
Behnam Bohluli, Elizabeth Consky, Farzin Sarkarat, Hesam Abdolhoseinpour
Nasal encephalocele is an uncommon congenital deformity in which the intracranial soft tissue components herniate through the skull base into the nasal cavity. Nasal encephaloceles can form large extracranial masses that necessitate early neurosurgical intervention. They also can cause deformation of the nasal bridge, causing elongation of the nose or severe orbital deformities. The conventional approach requires a wide and complicated intracranial access. This report describes the nasal framework osteotomy, an extracranial approach through the nasal bridge that allows visualization and reflection of the herniated tissue...
February 12, 2019: Journal of Oral and Maxillofacial Surgery
Roy Rajan, David Eric Tunkel
Congenital nasal deformities can cause nasal obstruction with early respiratory distress. Choanal atresia is characterized by no communication between the nasal cavity and nasopharynx. Pyriform aperture stenosis involves more anterior nasal obstruction with limited intranasal space. Nasal masses such as encephaloceles, gliomas, and dermoids are thought to be related through a skull base defect in utero. Imaging with computed tomography and MRI are helpful in distinguishing lesions and identifying intracranial communication...
December 2018: Clinics in Perinatology
Hetal K Marfatia, Kartik A Parelkar, Adhara Chakraborty, Shampa Mishra
Background: Pediatric patients presenting with a nasal mass is uncommon and a high index of suspicion for it to be a meningoencephalocele is essential. Majority of these are congenital and require early intervention owing to the risk of meningitis. Surgery in these cases is very challenging because of the risk of anesthesia and limited space. Objective: This study aimed to describe our technique and experience in managing pediatric meningoencephaloceles. Methods: A retrospective study of 19 pediatric patients (age ranging from 40-day-old infants to 11...
January 2018: Allergy & Rhinology
Weigang Gan, Yu Xiang, Yiping Tang, Xinrong He, Juanjuan Hu, Fengjuan Yang, Shixi Liu, Junming Xian, Juan Meng
RATIONALE: Nasal glial heterotopia is a rare type of neoplasm consisting of meningothelial and/or neuroglial elements. PATIENT CONCERNS: A 17-month-old female infant was evaluated for treatment for a congenital mass present since birth on the right side of the nasal dorsum. DIAGNOSES: The patient was preoperatively diagnosed with a congenital extranasal neoplasm. INTERVENTIONS: Surgery was performed under general anesthesia, and the mass was completely resected...
September 2018: Medicine (Baltimore)
M Stavrakas, P D Karkos, S Triaridis, J Constantinidis
INTRODUCTION: Congenital meningoencephaloceles represent a rare clinical entity, with its frequency being around 1 out of 4000-5000 live births. They usually present as a midline mass and the differential diagnosis includes dermoids, encephaloceles, and gliomas. Although the standard coronal approach with frontal craniotomy and pericranial flap has been considered the preferred method for several years, it is associated with risks and prolonged hospitalization. The endoscopic procedure is gaining ground and we are aiming to present our experience from five cases that were treated endoscopically...
September 14, 2018: European Archives of Oto-rhino-laryngology
A Morice, E Galliani, J Amiel, M Rachwalski, C Neiva, C Thauvin-Robinet, M-P Vazquez, A Picard, N Kadlub
Pai syndrome was originally described as the association of a midline cleft lip, midline facial polyps, and lipoma of the central nervous system. However, only a few patients present with the full triad, and most exhibit a wide spectrum of phenotypic variability. The aim of this study was to phenotypically delineate Pai syndrome and to propose new criteria to facilitate a clinical diagnosis in the future. The study cohort consisted of seven case patients and an additional 60 cases diagnosed with Pai syndrome identified in a literature review...
March 2019: International Journal of Oral and Maxillofacial Surgery
Hakan Kalayci, Şafak Yilmaz Baran, Gülşen Doğan Durdağ, Selçuk Yetkinel, Songül Alemdaroğlu, Serdinç Özdoğan, Seda Yüksel Şimşek, Esra Bulgan Kiliçdağ
Purpose: The ductus venosus pulsatility index velocity (DV PIV) has become a popular ultrasonographic measurement during the first trimester of pregnancy. The value of the DV PIV has been the topic of ongoing discussion in the literature, and its reference value in the normal population has not yet been established. Therefore, we aimed to determine a reference value for the DV PIV. Materials and Methods: We retrospectively evaluated our records of first-trimester ultrasonography performed between 2016 and 2017...
April 2020: Journal of Maternal-fetal & Neonatal Medicine
Poonam Sagar, Vikram Wadhwa, Ishwar Singh, Varuna Mallya, Pragya Rajpurohit
Introduction: Tuberculosis is a communicable disease caused by mycobacterium tuberculosis that primarily affects the lungs. Primary tuberculosis of the nose in the pediatric age group is rare. The diagnosis of this common entity in the present case was challenging. Case Report: We report the case of a 3-year old girl who presented with a painless swelling over the dorsum of the nose for 7 months. Imaging revealed a mass lesion eroding nasal bones, septum and frontal bone with intracranial extension...
July 2018: Iranian Journal of Otorhinolaryngology
Yi Zhang, Yu Fan, Jinlu Fan, Yanhui Cui
PURPOSE: To evaluate the surgical intervention and its effect on congenital dacryocystocele. METHODS: A total of 531 children with congenital dacryocystocele admitted to the Department of Ophthalmology of Beijing Children's Hospital, Shanghai Aier Eye Hospital, Nanjing Aier Eye Hospital, and the First Affiliated Hospital of Jinzhou Medical University between January 2007 and January 2017 were retrospectively analyzed. RESULTS: A total of 531 patients were followed up for 3-24 months, with an average of 13...
July 1, 2018: European Journal of Ophthalmology
Yuefeng Jiang, Xiaoyun Mao, Yang Zhao, Chuifeng Fan
RATIONALE: Primary intracranial immature teratoma accounts for majority of congenital central nervous system germ-cell tumors, but it is extremely rare in patients older than 15 years. PATIENT CONCERNS: A 27-year-old woman was referred to our hospital for headache, nasal congestion, and decreased olfactory sensation. Imaging showed a mass measuring approximately 5 cm × 4 cm in the right frontal lobe, which also filled the right nasal cavity. Histopathologically, the intracranial tumor tissues were composed of both mature tissues, including glands and squamous epithelial cells and immature neuroectodermal components...
July 2018: Medicine (Baltimore)
W X Yeo, K K Tan
Teratomas are the most common germ cell tumors of childhood. Head and neck teratomas, however, account for less than five percent of all teratomas. Considered rare at an incidence of 1 in 20,000 to 40,000 live births, they may occur in the cervical region, nasopharynx, brain, orbit, or oropharynx. Teratoma presenting as an isolated intranasal mass is extremely rare. In this report, we describe a case of a mature teratoma arising from the roof of the nasal cavity presenting as an isolated intranasal mass, the first of its kind from our literature review...
2018: Case Reports in Otolaryngology
Devon M Livingstone, James Brookes, Warren K Yunker
Congenital midline nasal masses have been traditionally excised through rhinotomies and bicoronal incisions. These approaches are disfiguring and potentially morbid, leading pediatric otolaryngologists to seek out less invasive, endoscopic-assisted approaches. Here we present a nasal dermoid excised with a minimally invasive, endoscopic assisted open rhinoplasty approach. The preoperative workup as well as perioperative steps for excision are documented, with the hope that this will assist other practitioners with this approach...
June 2018: International Journal of Pediatric Otorhinolaryngology
Norman C Charles, Richard D Lisman, Payal Patel, Alison B Callahan
Nasal glioma, encephalocele, and ectopic brain are rare congenital anomalies. The terminology applied to these entities has been historically confusing. In many cases, the terms overlap and may be employed synonymously although some authors emphasize their differences. The authors describe herein a child with an inner canthal mass of brain-like tissue that they interpret as nasal glioma, a variety of encephalocele that has lost its connection to the intracranial contents. This research was conducted in conformity with the Helsinki Declaration and Health Insurance Portability and Accountability Act regulations...
May 2018: Ophthalmic Plastic and Reconstructive Surgery
Sudhir Chandna, Milind A Mehta, Abhishek Kishore Kulkarni
Congenital midline nasal masses are rare anomalies of which nasal glial heterotopia represents an even rarer subset. We report a case of a 25-day-old male child with nasal glial heterotopia along with cleft palate suggesting embryonic fusion anomaly which was treated with excision and primary closure for nasal mass followed by palatal repair at later date.
January 2018: Journal of Indian Association of Pediatric Surgeons
Diana P Rodriguez, Emily S Orscheln, Bernadette L Koch
A wide range of masses develop in the nose, nasal cavity, and nasopharynx in children. These lesions may arise from the nasal ala or other structures of the nose, including the mucosa covering any surface of the nasal cavity, the cartilaginous or osseous portion of the nasal septum, the nasal turbinates, and the nasal bones. Lesions may also arise from the nasopharynx or adjacent structures and involve the nose by way of direct extension. The causes of nasal masses in children include congenital and developmental disorders such as congenital nasolacrimal duct mucocele, dermoid cyst, cephalocele, and nasal neuroglial heterotopia; inflammatory and infectious processes such as mucocele, polyp, and pyogenic granuloma; benign neoplasms such as infantile hemangioma and juvenile nasopharyngeal angiofibroma; malignant lesions such as rhabdomyosarcoma and nasopharyngeal carcinoma; and masses related to prior trauma such as septal hematoma...
October 2017: Radiographics: a Review Publication of the Radiological Society of North America, Inc
J P Windfuhr, J Vent
BACKGROUND: Angiofibromas in the head and neck region usually arise in the nasopharynx, but may also occur elsewhere. This study aims at evaluating the incidence and clinical features of extranasopharyngeal angiofibroma (ENA). MATERIAL AND METHODS: Systematic review of the literature (Medline® and Google™ ) up to 31 December 2015. RESULTS: 174 cases of ENA were retrieved from a total of 170 publications. In contrast to former publications and previous understanding, the nasal septum was by far the most common site of the disease...
February 2018: Clinical Otolaryngology
R Lartizien, C Durand, S Blaise, B Morand
Nasal glial heterotopia (NGH) is a rare benign tumor of the median line. We describe the case of a child presenting a lateral nasal mass. The characteristics of the prenatal ultrasound and the postnatal clinical examination argued in favor of a congenital hemangioma (CH). The MRI performed at 6 weeks of life suggested glial heterotopia. This diagnosis was confirmed by the pathological analysis. Congenital hemangiomas and nasal glial heterotopies have similar clinical presentations. Prenatal ultrasound diagnosis between NGH and CH is difficult...
April 5, 2017: Journal of Stomatology, Oral and Maxillofacial Surgery
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