Skull Base 2008; 18(6): 401-404
DOI: 10.1055/s-0028-1087219

© Thieme Medical Publishers

Endoscopic Surgery for Nasal Glioma Mimicking Encephalocele in Infancy

Chung-Lun Wu1 , Lon-Yen Tsao2 , Albert D. Yang3 , Mu-Kuan Chen1 , 4
  • 1Department of Otorhinolaryngology, Head and Neck Surgery, Changhua, Taiwan
  • 2Department of Pediatrics, Changhua, Taiwan
  • 3Department of Medical Imaging, Changhua Christian Hospital, Changhua, Taiwan
  • 4Institute of Medical Research, Chang Jung Christian University, Tainan, Taiwan
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07. Oktober 2008 (online)


Intranasal gliomas are challenging for several reasons. Their diagnosis may not be immediately obvious at presentation. It is important to exclude an intracranial extension, and for this some have suggested a craniotomy. We report a 9-day-old male infant in whom an intranasal glioma that mimicked an encephalocele was successfully excised by endoscopic approach after failure to excise it through a craniotomy. After more than a 5-year follow-up, the patient is still free from the disease. An endoscopic intranasal approach provides a safe and effective method for the management of nasal glioma and does not result in postoperative facial scaring or deformity. Endoscopic techniques provide excellent visualization and are preferable to the classic frontal craniotomy to excluding intracranial extension of nasal glioma.


Mu-Kuan ChenM.D. M.S. Ph.D. 

Chief, Department of Otorhinolaryngology, Head and Neck Surgery, Changhua Christian Hospital, Institute of Medical Research

No. 135 Nanhsiao Street, Changhua, 500, Taiwan