Ertas Burak, Aksoy Elif Ayanoglu, Unal Omer Faruk
*Department of Otorhinolaryngology, Acibadem University, Medical School †Department of Otorhinolaryngology, Koc University, Medical School, Istanbul, Turkey.
J Craniofac Surg. 2015 Nov;26(8):e793-4. doi: 10.1097/SCS.0000000000002161.
Transsphenoidal encephalocele, a rare congenital malformation, is generally diagnosed during childhood when investigating the reason for complaints such as nasal obstruction and recurring cerebrospinal fluid fistula. In this adult patient, the authors identified an asymptomatic transsphenoidal encephalocele after requested monitoring of a pedunculated mass detected in the nasopharynx during nasal endoscopy. After evaluation, the authors decided to follow the patient. Few cases of transsphenoidal encephalocele have been reported, and even fewer have been reported in older patients, with no other anomaly or symptoms. The success of surgical treatment for these masses is debatable. The authors did not consider surgery for this asymptomatic case. With this case presentation, the authors wish to emphasize that without making radiologic assessments of any masses identified in a nasopharyngeal examination, it would be inappropriate to perform a biopsy or any intervention.
经蝶窦脑膨出是一种罕见的先天性畸形，通常在儿童期调查诸如鼻塞和反复脑脊液瘘等主诉原因时被诊断出来。在这位成年患者中，作者在内镜检查时对鼻咽部发现的带蒂肿物进行监测后，发现了一例无症状的经蝶窦脑膨出。经过评估，作者决定对该患者进行随访观察。经蝶窦脑膨出的病例报道较少，在老年患者中且无其他异常或症状的报道更是少之又少。这些肿物手术治疗的成功率存在争议。作者未考虑对这例无症状病例进行手术。通过这例病例报告，作者希望强调，在未对鼻咽部检查中发现的任何肿物进行影像学评估的情况下，进行活检或任何干预都是不合适的。
