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Nasal midline masses in infants and children. Dermoids, encephaloceles, and gliomas
A S Paller1, J M Pensler, T Tomita
1Department of Pediatrics, Children's Memorial Hospital, Northwestern University Medical School, Chicago 60614.
Insights
Congenital nasal lesions like dermoids, gliomas, and encephaloceles require prompt surgical correction due to potential intracranial connections and infection risks. Early intervention in children is crucial for preventing serious complications.
Area of Science:
- Pediatric Surgery
- Developmental Biology
- Neurosurgery
Background:
- Nasal dermoids, gliomas, and encephaloceles are rare congenital anomalies.
- These lesions arise from errors during embryonic development.
- They can have connections to the intracranial cavity.
Purpose of the Study:
- To review the treatment of 46 children with these nasal lesions.
- To emphasize the importance of early surgical correction.
- To highlight the role of neuroimaging in assessing intracranial involvement.
Main Methods:
- Retrospective review of 46 pediatric cases with nasal dermoids, gliomas, or encephaloceles.
- Analysis of neuroimaging studies to determine intracranial extension.
- Surgical treatment and follow-up protocols.
Main Results:
- All 46 children underwent surgical correction.
- Neuroimaging was utilized to guide surgical planning and assess risk.
- Early surgical intervention was associated with positive outcomes.
Conclusions:
- Congenital nasal lesions pose a risk of intracranial infection due to potential dural defects.
- Early surgical management is imperative for these conditions.
- Neuroimaging plays a vital role in predicting and managing intracranial involvement.
Abstract:
Nasal dermoids, gliomas, and encephaloceles are uncommon congenital lesions that result from aberrant embryologic development. We have treated 46 children with these nasal lesions. In view of the potential intracranial connection, patients are at risk for intracranial infection, and early surgical correction is thus imperative. Neuroimaging studies may help to predict intracranial involvement.