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Adult nasal gliomas

Published online by Cambridge University Press:  05 February 2015

C Xie ,
S Hampal  and
C Li
C Xie*
Affiliation:
Department of ENT, Warrington Hospital, UK
S Hampal
Affiliation:
Department of ENT, Warrington Hospital, UK
C Li
Affiliation:
Department of Pathology, Warrington Hospital, UK
*
Address for correspondence: Ms C Xie, ENT Department, Warrington Hospital, Lovely Lane, Warrington WA5 1QG, UK E-mail: carolx@doctors.net.uk
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Abstract

Background:

Nasal gliomas are congenital neurogenic tumours that are mostly diagnosed in the perinatal period. They occur in 1 in 20 000–40 000 live births. Cases reported in adulthood are rare and the management in adults is controversial.

Case report:

A 55-year-old female had an incidental diagnosis of nasal glioma after routine endoscopic sinus surgery and polypectomy. Post-operatively, there was symptomatic improvement, but it was complicated by a cerebrospinal fluid leak.

Conclusion:

Most adults who present with nasal gliomas have non-specific nasal symptoms, and diagnosis is made from an incidental finding of heterotopic glial tissue. The management of nasal gliomas in adults is contentious. In contrast, management in the paediatric population is better established and the treatment is surgical excision. The relevant literature is reviewed.

Keywords

GliomaEncephaloceleNeurogliaCerebrospinal Fluid RhinorrheaNose DiseasesParanasal Sinuses
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 129 , Issue 3 , March 2015 , pp. 288 - 292
Copyright
Copyright © JLO (1984) Limited 2015 

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Footnotes

Presented as a poster at the Royal Society of Medicine – Laryngology and Rhinology Section, 7 March 2014, London, UK.

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