Nasal Glioma and Encephalocele

Diagnosis and Management

Reza Rahbar, Vicente Resto, Caroline D. Robson, Antonio R. Perez-Atayde, Liliana C. Goumnerova, Trevor J. McGill, Gerald B. Healy

Research output: Contribution to journalArticle

69 Citations (Scopus)

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 and/or 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.

Original languageEnglish (US)
Pages (from-to)2069-2077
Number of pages9
JournalLaryngoscope
Volume113
Issue number12
DOIs
StatePublished - Dec 2003
Externally publishedYes

Fingerprint

Encephalocele
Nose
Glioma
Lacrimal Apparatus Diseases
Surgical Pathology
Craniotomy
Neurologic Examination
Meningitis
Tertiary Care Centers
Signs and Symptoms
Tomography
Magnetic Resonance Imaging
Recurrence

Keywords

  • Encephalocele
  • Glioma
  • Nasal mass

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Rahbar, R., Resto, V., Robson, C. D., Perez-Atayde, A. R., Goumnerova, L. C., McGill, T. J., & Healy, G. B. (2003). Nasal Glioma and Encephalocele: Diagnosis and Management. Laryngoscope, 113(12), 2069-2077. https://doi.org/10.1097/00005537-200312000-00003

Nasal Glioma and Encephalocele : Diagnosis and Management. / Rahbar, Reza; Resto, Vicente; Robson, Caroline D.; Perez-Atayde, Antonio R.; Goumnerova, Liliana C.; McGill, Trevor J.; Healy, Gerald B.

In: Laryngoscope, Vol. 113, No. 12, 12.2003, p. 2069-2077.

Research output: Contribution to journalArticle

Rahbar, R, Resto, V, Robson, CD, Perez-Atayde, AR, Goumnerova, LC, McGill, TJ & Healy, GB 2003, 'Nasal Glioma and Encephalocele: Diagnosis and Management', Laryngoscope, vol. 113, no. 12, pp. 2069-2077. https://doi.org/10.1097/00005537-200312000-00003
Rahbar R, Resto V, Robson CD, Perez-Atayde AR, Goumnerova LC, McGill TJ et al. Nasal Glioma and Encephalocele: Diagnosis and Management. Laryngoscope. 2003 Dec;113(12):2069-2077. https://doi.org/10.1097/00005537-200312000-00003
Rahbar, Reza ; Resto, Vicente ; Robson, Caroline D. ; Perez-Atayde, Antonio R. ; Goumnerova, Liliana C. ; McGill, Trevor J. ; Healy, Gerald B. / Nasal Glioma and Encephalocele : Diagnosis and Management. In: Laryngoscope. 2003 ; Vol. 113, No. 12. pp. 2069-2077.
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