Hughes G B, Sharpino G, Hunt W, Tucker H M
Head Neck Surg. 1980 Jan-Feb;2(3):222-33. doi: 10.1002/hed.2890020308.
The nasal encephalocele, the glioma, and the dermoid are the most common of the congenital midline nasal masses. Due to similar embryologic development, each of these lesions may be associated with bony cranial defects and intracranial abnormalities, as well as CSF leakage and the potential for fatal meningitis if not handled properly. Properative manipulation should be avoided. Radiologic studies are instructive only if they are positive. If intracranial attachments are identified radiologically or suspected clinically, neurosurgical consultation should be obtained, and intracranial exploration and resection should be carried out as the initial procedure. Extra-cranial resection of the remaining mass may be performed immediately after intracranial resection, may be postponed, or may become unnecessary.
鼻内脑膨出、胶质瘤和皮样囊肿是最常见的先天性中线鼻部肿物。由于胚胎发育相似，这些病变中的每一种都可能与颅骨缺损和颅内异常有关，还可能伴有脑脊液漏，如果处理不当，有发生致命性脑膜炎的风险。应避免进行试探性操作。只有在影像学检查呈阳性时才有指导意义。如果影像学检查发现或临床怀疑有颅内附着，应咨询神经外科医生，并将颅内探查和切除作为初始步骤进行。在颅内切除后可立即进行剩余肿物的颅外切除，也可推迟进行，或者可能无需进行。
