Transnasal endoscopic removal of an extensive immature teratoma in a three-month-old child.
The use of endoscopy in the paranasal sinuses has grown and diversified in the past few years. We present a case of an immature malignant teratoma originating from the sinuses, with intracranial extension to the middle and posterior fossae, that was managed and removed endoscopically. At the age of 2 months, the patient was hospitalized for respiratory instability. Diagnosis was made with biopsy, and chemotherapy was introduced. After 4 weeks, an endonasal endoscopic approach was performed, and a complete macroscopic removal of the tumor was achieved without complications. Follow-up for 10 months with magnetic resonance imaging and endoscopic examination has not revealed recurrence. In selected cases, the endonasal endoscopic technique may be a good alternative to the external approach, reducing the operative trauma and mortality.
Department of Otolaryngology, University of Graz Medical School, Austria.
R L
RL
Voegels
W
W
Luxemberger
H
H
Stammberger
D004724:Endoscopy / Q000379:methods*; D005260:Female; D006801:Humans; D007223:Infant; D009303:Nasopharyngeal Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D009361:Neoplasm Invasiveness / Q000000981:diagnostic imaging / Q000473:pathology; D009367:Neoplasm Staging; D013724:Teratoma / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D014057:Tomography, X-Ray Computed