Objective To investigate the clinical features and diagnosis and treatment methods of nasal glial ectopia in children. Methods The clinical data of 8 cases of nasal glial ectopia admitted to Henan Children's Hospital from August 2014 to October 2022 were retrospectively analyzed. Nasal CT and fiber electronic nasopharyngoscopy were performed before surgery. All children underwent surgery under general anesthesia,including intranasal type and mixed type through nasal endoscopic approach,and the nasal dorsal longitudinal and fusiform incisions were performed for the extranasal type. Regular follow-up was performed after surgery. Results All the 8 cases were congenital,including 7 male children and 1 female child,19 days to 48 months old. There were 4 cases of intranasal type,3 cases of extranasal type and 1 case of mixed type. Children with intranasal type and mixed type were mainly characterized by nasal congestion,while children with extranasal type showed nasal and back mass. All the operations were successful and no recurrence occurred during the follow-up period of 4-102 months. one child with intranasal type developed right nasal stenosis more than 40 days after surgery,and the remaining children did not have nasal deformity or dysfunction. Conclusions Nasal glial ectopia is rare,and preoperative imaging can help to clarify the location and extent of lesions. Surgical resection is currently the main treatment method,and the surgical approach can be selected according to the lesion site. Nasal endoscopic surgery can be performed for intranasal type and mixed type,while extranasal incision can be made for the extranasal type. Additionally,nasal skull base surgery can be performed if necessary.
维普
万方数据