title: Myocutaneous sternocleidomastoid flap for reconstruction after the resection of a parapharyngeal heterotopic glioma in a child with cleft palate, and systematic review of parapharyngeal glial heterotopia.
abstract: We describe the surgery and reconstruction employed with a sternocleidomastoid myocutaneous flap for the treatment of a heterotopic glioma in a 2-year-old boy with incomplete palatal fissure who presented with dysphagia and snoring, in whom a lateral pharyngeal wall mass obstructing 60% of the airway was noted. Heterotopic gliomas are uncommonly reported in the parapharyngeal space and should be included in the differential diagnosis at this location in children. Parapharyngeal tumors present difficult diagnostic and management challenges; head and neck surgeons must be prepared not only for the resection but also for the reconstruction of these rare lesions.
authors.affiliation: Otolaryngology & Head and Neck Surgery Department, General Hospital "Dr. Manuel Gea González", México City, Mexico.
authors.forename: Héctor M
authors.initials: HM
authors.lastname: Prado-Calleros
authors.affiliation: Otolaryngology & Head and Neck Surgery Department, General Hospital "Dr. Manuel Gea González", México City, Mexico.
authors.forename: José R
authors.initials: JR
authors.lastname: Arrieta-Gómez
authors.affiliation: Otolaryngology & Head and Neck Surgery Department, General Hospital "Dr. Manuel Gea González", México City, Mexico.
authors.forename: Beatriz
authors.initials: B
authors.lastname: Castillo-Ventura
authors.affiliation: Pathology Department, General Hospital "Dr. Manuel Gea González", Mexico.
authors.forename: Sara Parraguirre
authors.initials: SP
authors.lastname: Martínez
authors.affiliation: Research Department, General Hospital "Dr. Manuel Gea González", Mexico.
authors.forename: Carlos
authors.initials: C
authors.lastname: Jiménez-Gutiérrez
authors.affiliation: Paediatrics Department, General Hospital "Dr. Manuel Gea González", Mexico. Electronic address: hmpradoc@gmail.com.
authors.forename: Irma
authors.initials: I
authors.lastname: Jiménez-Escobar
mesh_terms: D002675:Child, Preschool; D002828:Choristoma / Q000175:diagnosis / Q000601:surgery*; D002972:Cleft Palate / Q000150:complications / Q000601:surgery*; D005910:Glioma / Q000601:surgery*; D006801:Humans; D008297:Male; D018482:Muscle, Skeletal / Q000601:surgery; D010610:Pharyngeal Neoplasms / Q000150:complications / Q000601:surgery*; D010614:Pharynx / Q000473:pathology; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps / Q000601:surgery*; D014057:Tomography, X-Ray Computed
keywords: Cleft palate; Heterotopic glioma; Parapharyngeal tumor; Sternocleidomastoid myocutaneous flap