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Child's Nervous System
Erschienen in: Child's Nervous System 3/2020

01.03.2020 | Review Article

Meet in the middle: a technique for resecting nasocranial dermoids—technical note and review of the literature

verfasst von: Joaquin Hidalgo, Richard J. Redett III, Bruno P. Soares, Alan R. Cohen

Erschienen in: Child's Nervous System | Ausgabe 3/2020

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Abstract

Introduction

Nasal dermoids with intracranial extension are benign lesions that can have life-threatening consequences, as a nasal punctum may serve as a portal of entry for infection into the central nervous system. The surgical management of these lesions can be challenging, as the extracranial and intracranial cysts and sinus tract must be resected to prevent recurrence, and the surgery must be carried out with an acceptable esthetic result.

Technique

The authors present a technique for the resection of nasocranial dermoids that eliminates the need to remove and replace the frontonasal segment. Working through a small frontal craniotomy enables the surgeon to drill out the sinus tract through the foramen cecum and inferiorly into the nose. This exposure eliminates the need to enter the frontal sinus, if it is present.

Conclusion

The extracranial punctum and tract are resected from below in a minimally invasive fashion that permits removal of the lesion without a disfiguring scar.
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Metadaten
Titel
Meet in the middle: a technique for resecting nasocranial dermoids—technical note and review of the literature
verfasst von
Joaquin Hidalgo
Richard J. Redett III
Bruno P. Soares
Alan R. Cohen
Publikationsdatum
01.03.2020
Verlag
Springer Berlin Heidelberg
Erschienen in
Child's Nervous System / Ausgabe 3/2020
Print ISSN: 0256-7040
Elektronische ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-020-04499-5

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