Transglabellar Subcranial Surgery Effective for Children

Children with nasal lesions with intracranial extension respond well to procedure

MONDAY, Oct. 15 (HealthDay News) -- Transglabellar subcranial surgery is a safe and effective way to treat nasal masses with intracranial extension in children, according to a study published in the September/October issue of the Archives of Facial Plastic Surgery.

Parul Goyal, M.D., of Upstate Medical University, Syracuse, N.Y., and colleagues reported on five pediatric cases of congenital nasal lesions, three with nasal dermoids with intracranial extension and two with encephaloceles.

The patients ranged in age from 13 months to 15 years. All five underwent successful resection of the lesions, and during follow-up, which ranged between one and 12 years, none experienced recurrence of lesions or a negative effect on facial growth due to the surgery.

"These lesions have traditionally been managed with lateral rhinotomy, midface degloving, or external rhinoplasty approaches combined with a frontal craniotomy," the authors wrote. "The subcranial approach offers several advantages over a traditional frontal craniotomy. It provides excellent exposure, minimizes frontal lobe retraction, reduces the likelihood of cerebrospinal fluid leakage, and provides for an excellent cosmetic result."

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