儿童鼻神经胶质异位8例临床分析  

Clinical analysis of 8 cases of nasal gliosis in children

作　　者：宋丹丹[1] 僧东杰 赵帅[1] 张可[1] 李春鸽 李春苗[1] SONG Dandan;SENG Dongjie;ZHAO Shuai;ZHANG Ke;LI Chunge;LI Chunmiao(Department of Otorhlinolaryngology,Zhengzhou University Affiliated Children’s Hospital,Henan Children’s Hospital,Zhengzhou Children’s Hospital,Zhengzhou 450018,China)

机构地区：[1]郑州大学附属儿童医院、河南省儿童医院、郑州儿童医院耳鼻咽喉头颈外科,郑州450018

出　　处：《中国眼耳鼻喉科杂志》2024年第6期475-478,共4页Chinese Journal of Ophthalmology and Otorhinolaryngology

摘　　要：目的探讨儿童鼻神经胶质异位的临床特点和诊疗方法。方法回顾分析2014年8月—2022年10月河南省儿童医院收治的8例鼻神经胶质异位患者的临床资料,其中男性7例、女性1例;月龄19 d~48个月。所有患儿术前均行鼻部CT、纤维电子鼻咽镜检查;均于全身麻醉下行手术治疗,其中鼻内型及混合型行鼻内镜入路,鼻外型行鼻背纵、梭形切口。术后定期随访。结果8例患儿均为先天性,其中鼻内型4例、鼻外型3例、混合型1例。鼻内型、混合型患儿表现以鼻塞为主,鼻外型患儿表现为鼻背部肿块。所有患儿手术顺利,随访4~102个月,均未见复发。1例鼻内型患儿于术后40余天出现右侧鼻腔狭窄,余患儿均未出现鼻部畸形及功能障碍。结论儿童鼻神经胶质异位较为罕见,术前影像学检查有助于明确病变部位及范围。手术切除为目前较为主要的治疗方式,手术径路可根据病变部位选择:鼻内型和混合型可行鼻内镜手术,鼻外型可行鼻外切口手术,必要时行鼻颅底手术。Objective To investigate the clinical features and diagnosis and treatment methods of nasal glial ectopia in children.Methods The clinical data of 8 cases of nasal glial ectopia admitted to Henan Children’s Hospital from August 2014 to October 2022 were retrospectively analyzed.Nasal CT and fiber electronic nasopharyngoscopy were performed before surgery.All children underwent surgery under general anesthesia,including intranasal type and mixed type through nasal endoscopic approach,and the nasal dorsal longitudinal and fusiform incisions were performed for the extranasal type.Regular follow-up was performed after surgery.Results All the 8 cases were congenital,including 7 male children and 1 female child,19 days to 48 months old.There were 4 cases of intranasal type,3 cases of extranasal type and 1 case of mixed type.Children with intranasal type and mixed type were mainly characterized by nasal congestion,while children with extranasal type showed nasal and back mass.All the operations were successful and no recurrence occurred during the follow-up period of 4-102 months.one child with intranasal type developed right nasal stenosis more than 40 days after surgery,and the remaining children did not have nasal deformity or dysfunction.Conclusions Nasal glial ectopia is rare,and preoperative imaging can help to clarify the location and extent of lesions.Surgical resection is currently the main treatment method,and the surgical approach can be selected according to the lesion site.Nasal endoscopic surgery can be performed for intranasal type and mixed type,while extranasal incision can be made for the extranasal type.Additionally,nasal skull base surgery can be performed if necessary.

关 键 词：鼻神经胶质异位 鼻 儿童 

分 类 号：R764.21[医药卫生—耳鼻咽喉科]