Image-guided transoral resection of recurrent parapharyngeal space glial heterotopia

Jinwei Hu; Jennifer Ta; Jeremy Deisch; Steve Lee; Rachelle Wareham

doi:10.1016/j.ijporl.2013.11.002

Image-guided transoral resection of recurrent parapharyngeal space glial heterotopia

Int J Pediatr Otorhinolaryngol. 2014 Feb;78(2):366-9. doi: 10.1016/j.ijporl.2013.11.002. Epub 2013 Nov 19.

Authors

Jinwei Hu¹, Jennifer Ta¹, Jeremy Deisch², Steve Lee¹, Rachelle Wareham³

Affiliations

¹ Department of Otolaryngology - Head & Neck Surgery, United States.
² Department of Pathology, Loma Linda University Medical Center, Loma Linda, CA, United States.
³ Department of Otolaryngology - Head & Neck Surgery, United States. Electronic address: [email protected].

PMID: 24367936
DOI: 10.1016/j.ijporl.2013.11.002

Abstract

Intranasal glial heterotopia is an uncommon congenital nasal lesion of neuroectoderm origin. Involvement of the parapharyngeal space is extremely rare. We present a case report of a newborn with life-threatening respiratory distress and feeding difficulty caused by a nasal glial heterotopia in a rare location involving the nasopharynx and parapharyngeal space. Surgical treatment was done in a staged fashion, involving image guidance for recurrence. Other diagnostic and treatment options are reviewed in the light of current literature.

Keywords: Glial heterotopia; Parapharyngeal space; Stereotactic image guidance.

Publication types

Case Reports

MeSH terms

Choristoma / diagnosis
Choristoma / surgery*
Female
Humans
Infant, Newborn
Nasal Mucosa*
Nasopharyngeal Diseases / diagnosis
Nasopharyngeal Diseases / surgery*
Neuroglia*
Recurrence
Respiratory Distress Syndrome, Newborn / diagnosis
Respiratory Distress Syndrome, Newborn / surgery*
Surgery, Computer-Assisted / methods*
Tomography, X-Ray Computed