Nasal swellings – beware of the glioma!

Nasal swellings – beware of the glioma! Eur J Plast Surg (2000) 23:154–155 © Springer-Verlag 2000 LETTER T O THE EDIT OR D. A. Munnoch · K. Hancock Received: 25 August 1999 / Accepted: 3 January 2000 Dear Sir, There are many causes of a nasal swelling. Most are ob- vious, but a few rare causes are frequently misdiagnosed [1]. Nasal gliomas are rare congenital malformations which may be external (60%), internal (30%), or both. Extranasal gliomas frequently involve the soft tissue of the bridge of the nose. They are firm, non-pulsatile masses, normally with a greyish-purple discolouration, and they are usually present at birth [2]. This is a devel- opmental abnormality thought to be due to the early her- niation of foetal brain tissue, which becomes partially or completely detached from the frontal lobes [3]. It is im- portant to be aware of this fact and to exclude any crani- al extension by radiological imaging prior to surgery. A 6-month-old boy was recently referred to our de- Fig. 1 The initial appearance of the nasal swelling partment for treatment of a glabellar lesion with a tune- Fig. 2 Post-operative result able dye laser (Coherent Artisan). There was a purple soft nodular mass over the bridge European Journal of Plastic Surgery Springer Journals

Nasal swellings – beware of the glioma!

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Copyright © 2000 by Springer-Verlag Berlin Heidelberg
Medicine & Public Health; Plastic Surgery
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