Congenital nasal neuroglial heterotopia and encephaloceles: An update on current evaluation and management

The Laryngoscope
Eelam AdilReza Rahbar

Abstract

To describe our experience and current management approach for congenital nasal neuroglial heterotopia (NGH) and encephaloceles. Retrospective chart review at a tertiary pediatric hospital from 1970 to 2013. Thirty patients met inclusion criteria: 21 NGH and nine encephaloceles. Data including demographics, pathology, imaging modality, surgical approach, resection extent, outcomes, and complications were analyzed. Fourteen NGH patients (67%) presented with an internal nasal mass and nasal obstruction. Three patients (14%) presented with an external nasal mass and four (19%) had a mixed lesion. Median age at surgery was 0.51 years (interquartile range 1.32 years). Thirteen (62%) had an intranasal endoscopic approach. Median operative time was 1.6 hours (interquartile range 1.2 hours), and there were no major complications. Nine patients with encephalocele were identified: six (67%) presented with transethmoidal encephaloceles, two (22%) presented with nasoethmoidal encephaloceles, and one (11%) presented with a nasofrontal lesion. The median age at surgery was 1.25 years (interquartile range 1.4 years). All patients required a craniotomy for intracranial extension. Median operative time was 5 hours (interquartile range 1.9 hours...Continue Reading

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Citations

May 20, 2016·Journal of Pediatric Neurosciences·Amit Kumar KeshriSanjay Behari
Mar 16, 2019·World Journal of Plastic Surgery·Ezatollah Rezaei, Yavar Shams Hojjati
Sep 25, 2017·The Journal of Craniofacial Surgery·Soung Min KimSuk Keun Lee
Oct 12, 2017·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Diana P RodriguezBernadette L Koch
Nov 24, 2019·The Journal of Craniofacial Surgery·Nima Khavanin, Jordan P Steinberg
May 30, 2020·International Journal of Surgical Pathology·Chenglong WangYoude Cao
Jun 11, 2020·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Cristiano ParisiOriela Rustemi
Jan 3, 2021·Pediatrics in Review·Daniela TitchinerSharla Rent
Mar 30, 2021·Pediatric Investigation·Wei ZhangWentong Ge
Apr 15, 2021·BMJ Case Reports·Maria BaldovinEnzo Emanuelli
May 26, 2021·Journal of Stomatology, Oral and Maxillofacial Surgery·A EleuchH Khochtali

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