Huth Markus E, Heimgartner Samuel, Schnyder Isabelle, Caversaccio Marco D
Department of Otorhinolaryngology, Head and Neck Surgery, Inselspital, University of Berne, Switzerland.
J Pediatr Surg. 2008 Nov;43(11):2102-5. doi: 10.1016/j.jpedsurg.2008.07.020.
Initial presentation of a white female newborn delivered after normal pregnancy demonstrated a white mass obstructing the left nare. Primary biopsy revealed a focus of fibrotic nasal mucosa that included squamous and respiratory epithelium. After endoscopic resection of the mass, histopathologic examination resulted in the diagnosis of a teratoma. According to our literature review, this is the first case of a teratoma arising from the nasal septum in a white. Worldwide, 3 additional cases have been reported, but none included endoscopic management. This case illustrates our protocol for an endoscopic approach to an obstructive nasal mass in a neonate and our experience in the management of this rare disease.
一名经正常妊娠后分娩的白人女性新生儿，初次就诊时发现左侧鼻孔有一白色肿物阻塞。初步活检显示纤维化鼻黏膜病灶，包括鳞状上皮和呼吸上皮。肿物经内镜切除后，组织病理学检查诊断为畸胎瘤。根据我们的文献综述，这是白人中首例源于鼻中隔的畸胎瘤。在全球范围内，另外还报告了3例，但均未包括内镜治疗。本病例展示了我们针对新生儿阻塞性鼻腔肿物的内镜治疗方案以及我们对这种罕见疾病的治疗经验。
