https://doi.org/10.4081/pmc.2021.240

Nasal glial heterotopia: A rare interdisciplinary surgical challenge in newborns

Vol. 43 No. 1 (2021)
Submitted: 2 September 2020
Accepted: 19 March 2021
Published: 20 April 2021
Nasal glioma, prenatal diagnosis, congenital hemangioma
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Authors

Paolo Gasparella
paolo.gasparella@medunigraz.at
https://orcid.org/0000-0002-3868-9136
Department of Pediatric and Adolescent Surgery, Austria.
Georg Singer
https://orcid.org/0000-0003-4770-3144
Department of Pediatric and Adolescent Surgery, Austria.
Stephan Spendel
Division of Plastic, Aesthetic and Reconstructive Surgery, Department of Surgery, Austria.
Eszter Nagy
https://orcid.org/0000-0001-7080-5996
Division of Pediatric Radiology, Department of Radiology, Austria.
Hans Georg Eder
Department of Neurosurgery, Austria.
Philipp Klaritsch
https://orcid.org/0000-0002-7359-4853
Department of Gynecology and Obstetrics, Medical University of Graz, Graz, Austria.
Holger Till
Department of Pediatric and Adolescent Surgery, Austria.
Emir Q. Haxhija
https://orcid.org/0000-0003-0623-8100
Department of Pediatric and Adolescent Surgery, Austria.

Nasal Glioma (NG) represents a rare congenital abnormality of the neonate, which can be associated with skull defects or even a direct communication to the central nervous system. MRI serves valuable information for differentiation from encephalocele, dermoid cyst and congenital hemangioma. Complete resection remains the treatment of choice. We present two cases of NG, which were both suspected during prenatal ultrasound and MRI. In the first case, postnatal MRI showed a transcranial continuity. Mass excision was performed and the defect was covered by a glabellar flap allowing a good cosmetic result. Postnatal MRI excluded a trans-glabellar communication in the second case. After surgical excision, the resulting skin defect was covered with a full thickness skin graft harvested from the right groin. In cases of NGs complete resection and cosmetic appealing results can be achieved and might necessitate a multidisciplinary approach.

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How to Cite

Gasparella, P., Singer, G., Spendel, S., Nagy, E., Eder, H. G., Klaritsch, P., … Haxhija, E. Q. . (2021). Nasal glial heterotopia: A rare interdisciplinary surgical challenge in newborns. La Pediatria Medica E Chirurgica, 43(1). https://doi.org/10.4081/pmc.2021.240

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