Endoscopic treatment of intranasal glioma in an infant presenting with dyspnea

Abstract

Nasal gliomas are uncommon congenital lesions arising from abnormal embryonic development. Clinically, these masses are firm and uncompressible. Histologically, they are made up of astrocytes and neuroglial cells, embedded in fibrous and vascular connective tissue. Proper management of a nasal glioma requires a multidisciplinary approach including an otorhinolaryngologist, radiologist, and neurosurgeon. Radiological investigations such as computed tomography or magnetic resonance imaging should be performed to exclude intracranial extension. The mainstay of treatment is complete surgical extirpation to avoid recurrence. We report one case of nasal glioma in a Japanese infant presenting with dyspnea and cyanosis. Diagnostic and therapeutic options are discussed in light of the current literature.