Nasal Glioma

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Roberto L. Flores - One of the best experts on this subject based on the ideXlab platform.

  • Resection of Nasal Glial Heterotopia Using a Nasal Subunit Approach.
    The Ochsner journal, 2018
    Co-Authors: Michael T. Friel, Roberto L. Flores
    Abstract:

    Background: In the subunit principle of Nasal reconstruction, the valleys and low ridges of the nose are designated as topographic subunits. Surgical scars can be located at the borders of subunits to hide their appearance. Case Report: A 30-month-old female presented with an obstructing Nasal glial heterotopia (Nasal Glioma). Using the Nasal subunit approach, the mass was exposed using an incision along the subunit borders of the nose. The Nasal Glioma was completely resected, and the internal Nasal valve and the deformed lower lateral cartilages were reconstructed through the subunit approach access incision. The final scar was placed along the subunit borders of the nose. At 6-month follow-up, the patient demonstrated no airway obstruction, adequate Nasal contour, and an esthetic Nasal scar. Conclusion: The subunit approach for a large, obstructing Nasal glial heterotopia allows direct exposure for tumor resection, framework reconstruction, placement of the incision in an esthetic location, and excision of the expanded skin for recontouring of the skin envelope.

Michael T. Friel - One of the best experts on this subject based on the ideXlab platform.

  • Resection of Nasal Glial Heterotopia Using a Nasal Subunit Approach.
    The Ochsner journal, 2018
    Co-Authors: Michael T. Friel, Roberto L. Flores
    Abstract:

    Background: In the subunit principle of Nasal reconstruction, the valleys and low ridges of the nose are designated as topographic subunits. Surgical scars can be located at the borders of subunits to hide their appearance. Case Report: A 30-month-old female presented with an obstructing Nasal glial heterotopia (Nasal Glioma). Using the Nasal subunit approach, the mass was exposed using an incision along the subunit borders of the nose. The Nasal Glioma was completely resected, and the internal Nasal valve and the deformed lower lateral cartilages were reconstructed through the subunit approach access incision. The final scar was placed along the subunit borders of the nose. At 6-month follow-up, the patient demonstrated no airway obstruction, adequate Nasal contour, and an esthetic Nasal scar. Conclusion: The subunit approach for a large, obstructing Nasal glial heterotopia allows direct exposure for tumor resection, framework reconstruction, placement of the incision in an esthetic location, and excision of the expanded skin for recontouring of the skin envelope.

Reza Rahbar - One of the best experts on this subject based on the ideXlab platform.

  • Nasal Glioma: Prenatal Diagnosis and Multidisciplinary Surgical Approach
    Skull base reports, 2011
    Co-Authors: Olubunmi Ajose-popoola, Harrison W. Lin, V. Michelle Silvera, Lisa A. Teot, Joseph R. Madsen, John G. Meara, Reza Rahbar
    Abstract:

    Nasal Gliomas are congenital, nonmalignant rests of neuroglial tissue that typically present as a craniofacial mass. The differential diagnosis of such masses includes lesions that often require the involvement of various surgical subspecialties, including otolaryngology, neurosurgery, plastic surgery, and ophthalmology. Early surgical excision of these masses is advised to minimize Nasal and craniofacial distortion. Accordingly, early diagnosis and management planning are paramount, and advances in prenatal imaging are creating a new role for obstetricians and radiologists in the initiation of diagnostic and therapeutic interventions. We describe the case history of a young patient found to have a craniofacial mass on routine prenatal ultrasound and subsequently managed with a multidisciplinary team approach.

  • Nasal Glioma and encephalocele diagnosis and management
    Laryngoscope, 2003
    Co-Authors: Reza Rahbar, Antonio R Perezatayde, Vicente A Resto, Caroline D Robson, Liliana Goumnerova, Trevor J. Mcgill, Gerald B. Healy
    Abstract:

    Objective: To review the biology of Nasal Glioma and encephalocele and to present an algorithm for preoperative evaluation and surgical management. Design: Retrospective review and analysis. Setting: Tertiary care medical center: 1970 to 2002. Patient: Sixteen patients with Glioma (n = 10) and encephalocele (n = 6). Outcome: Age at the time of presentation, sex, signs and symptoms, imaging findings, surgical approach, pathology, complications, rate of recurrence, and follow-up were recorded. Results: Ten patients presented with Nasal Glioma with a mean age of 9 months. All patients underwent surgical excision. No complication was encountered with a mean follow-up of 3.5 years. Six patients presented with encephaloceles with a mean age of 15.5 months. All patients underwent surgical excision. Complications included cerebrospinal fluid leak (n = 1) and epiphora (n = 1). Follow-up was 1 to 14 years (mean, 4 years). Conclusion: Nasal Glioma and encephalocele are rare, benign, congenital lesions with a potential for intracranial extension. Evaluation should include a complete rhinologic and neurologic examination. Preoperative imaging with a thin-cut axial and coronal computed tomography scan andlor multiplanar magnetic resonance imaging is essential. Surgical intervention should be performed soon after diagnosis to alleviate the increased risk of meningitis. A frontal craniotomy approach is recommended if intracranial extension is identified based on preoperative evaluation, followed by an extracranial resection. If there is no evidence of intracranial extension, a conservative extracranial approach is recommended.

Theodore H. Schwartz - One of the best experts on this subject based on the ideXlab platform.

  • Endoscopic management of a rare case of Nasal Glioma in Meckel's cave in an adult: case report.
    Minimally invasive neurosurgery : MIN, 2010
    Co-Authors: Manish K. Kasliwal, Vijay K. Anand, Ehud Lavi, Theodore H. Schwartz
    Abstract:

    Nasal Glioma or glial heterotopia is a rare embryologic anomaly that heralds its presence shortly after birth or in childhood. Nasal Glioma in an adult is very rare, often asymptomatic and the occurrence of Nasal Glioma in Meckel's cave in an adult has not been previously reported. The authors encountered a case of an incidentally diagnosed Meckel's cave Nasal Glioma in a 40-year-old male which was successfully excised by an endoNasal endoscopic transmaxillary transpterygoid approach. The occurrence of a Nasal Glioma in Meckel's cave an adult is very rare. Considering the deep skull base location, endoNasal endoscopic surgery provides a minimal access technique to reach this location with excellent results. © Georg Thieme Verlag KG Stuttgart · New York.

  • Endoscopic Management of a Rare Case of Nasal Glioma in Meckel's Cave in an Adult: Case Report
    Minimally Invasive Neurosurgery, 2010
    Co-Authors: Manish K. Kasliwal, Vijay K. Anand, Ehud Lavi, Theodore H. Schwartz
    Abstract:

    BACKGROUND: Nasal Glioma or glial heterotopia is a rare embryologic anomaly that heralds its presence shortly after birth or in childhood. Nasal Glioma in an adult is very rare, often asymptomatic and the occurrence of Nasal Glioma in Meckel's cave in an adult has not been previously reported. CASE REPORT: The authors encountered a case of an incidentally diagnosed Meckel's cave Nasal Glioma in a 40-year-old male which was successfully excised by an endoNasal endoscopic transmaxillary transpterygoid approach. CONCLUSION: The occurrence of a Nasal Glioma in Meckel's cave an adult is very rare. Considering the deep skull base location, endoNasal endoscopic surgery provides a minimal access technique to reach this location with excellent results.

Apurba Ghosh - One of the best experts on this subject based on the ideXlab platform.

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