Loundon N, Ayache D, Zerah M, Couly G, Manach Y
Service d'ORL et de Chirurgie Cervico-Faciale, Hôpital Necker-Enfants-Malades, Paris.
Ann Otolaryngol Chir Cervicofac. 1997;114(1-2):29-35.
Neuroglial heterotopia, glioma, is an uncommon congenital nervous tissue tumor, usually found in a nasofrontal localization. About 60 cases with an atypical localization, usually in the pterygomaxillary fossa have been reported. We present 8 cases. Symptomatology followed CT-scan or MRI identified localization and was helpful in orienting diagnosis before biopsy. Exeresis was difficult, particularly in deep infratemporal localizations reaching the base of the skull. The main risk is recurrence. Different surgical approaches have been discussed and should be adapted to each case.
神经胶质异位瘤,即胶质瘤,是一种罕见的先天性神经组织肿瘤,通常位于鼻额部。据报道,约有60例非典型定位的病例,通常位于翼腭窝。我们报告8例。症状遵循CT扫描或MRI确定的定位,有助于在活检前进行诊断导向。切除困难,尤其是在深入颞下到达颅底的部位。主要风险是复发。已讨论了不同的手术方法,应根据具体情况进行调整。