Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2022, Vol. 36 ›› Issue (1): 81-85.doi: 10.6040/j.issn.1673-3770.0.2021.150

Previous Articles     Next Articles

Clinical diagnosis and treatment of congenital nasal sinus mass in children

CHEN Kun, LU Hui, HUANG Qi, LI Lei, MENG Guozhen, YANG Jun, HOU Dongming   

  1. Department of Otorhinolaryngology & Head and Neck Surgery, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China
  • Published:2022-02-22

PDF (PC)

176

Abstract: Objective To explore the safety and effectiveness of diagnosis and endoscopic surgical treatment of congenital nasal sinus masses in children. Methods A retrospective analysis of the clinical data of 24 congenital nasal sinus mass cases in children admitted to the Xinhua Hospital, which is affiliated with the Shanghai Jiao Tong University School of Medicine. Preoperative nasal endoscopy, sinus CT, and MRI examination were performed, and all patients underwent endoscopic mass resection, with follow-up of surgical outcomes. Results Of the 24 cases, 17 were benign, consisting of 8 meningocele cases, 3 ossifying fibroma cases, 2 nasal chondromesenchymal hamartoma cases, 1 case of poor bone fiber structure, 1 myofibroma case, 1 teratoma case, and 1 capillary hemangioma case. Meanwhile, the remaining 7 cases were malignant, consisting of 2 B-cell lymphoma cases, 2 embryonal rhabdomyosarcoma cases, 1 mesenchymal chondrosarcoma case, 1 olfactory neuroblastoma case, and 1 mucoepidermoid carcinoma case. Aside from the two embryonal rhabdomyosarcoma cases, the one mesenchymal chondrosarcoma case and the one olfactory neuroblastoma case had passed away; thus, only the remaining 20 of the 24 cases were completely resected. No recurrence was observed in 1.5-7.5 years in the remaining cases. Conclusion There were more benign nasal sinus mass cases in children, which were usually resolved with complete surgical resection. Preoperative endoscopic examination, thin-layer CT, and MRI examination were found to be necessary for diagnosis, surgical procedure formulation, and risk assessment. Moreover, nasal endoscopic surgery can completely remove most of these lesions, with the advantages of small trauma, clear vision, and good clinical results.

Key words: Nasal cavity tumor, Sinus tumor, Children, Nasal endoscopic surgery, Treatment

CLC Number: 

  • R765.4
[1] Lazim NM, Abdullah B. Multidisciplinary approach to children with sinonasal tumors: a review[J]. Pediatr Investig, 2019, 3(3): 173-179. doi:10.1002/ped4.12147.
[2] Chung SY, Unsal AA, Kilic S, et al. Pediatric sinonasal malignancies: A population-based analysis[J]. Int J Pediatr Otorhinolaryngol, 2017, 98: 97-102. doi.org/10.1016/j.ijporl.2017.04.032.
[3] 陈坤, 李磊, 孟国珍, 等. 婴幼儿先天性基底型脑膜脑膨出的诊断及鼻内镜手术治疗[J]. 山东大学耳鼻喉眼学报, 2021,35(1): 77-81. doi:10.6040/j.issn.1673-3770.0.2020.188. CHEN Kun, LI Lei, MENG Guozhen, et al. Diagnosis and nasal endoscopic surgery of congenital basal meningoencephaloceles in infants[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021,35(1): 77-81. doi:10.6040/j.issn.1673-3770.0.2020.188.
[4] Rodriguez DP, Orscheln ES, Koch BL. Masses of the nose, nasal cavity, and nasopharynx in children[J]. Radiographics, 2017, 37(6): 1704-1730. doi:10.1148/rg.2017170064.
[5] 刘晓静, 王愿, 张立庆, 等. 鼻窦骨纤维异常增殖症36例临床分析[J]. 山东大学耳鼻喉眼学报, 2018,32(2): 73-78. doi: 10.6040/j.issn.1673-3770.0.2017.434. LIU Xiaojing, WANG Yuan, ZHANG Liqing, et al. Analysis of paranasal sinus fibrous dysplasia in 36 cases[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2018,32(2): 73-78. doi: 10.6040/j.issn.1673-3770.0.2017.434.
[6] Pagella F, Emanuelli E, Pusateri A, et al. Clinical features and management of antrochoanal polyps in children: Cues from a clinical series of 58 patients[J]. Int J Pediatr Otorhinolaryngol, 2018, 114: 87-91. doi: 10.1016/j.ijporl.2018.08.033.
[7] 陈坤, 李磊, 孟国珍, 等. 婴儿鼻腔软骨间叶性错构瘤2例及文献复习[J]. 山东大学耳鼻喉眼学报, 2020,34(6): 27-30. doi: 10.6040/j.issn.1673-3770.0.2019.588. CHEN Kun, LI Lei, MENG Guozhen, et al. Nasal chondromesenchymal hamartoma in infants: a report of two cases and literature review[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2020,34(6): 27-30. doi: 10.6040/j.issn.1673-3770.0.2019.588.
[8] Ramsey T, Curran K, Mouzakes J, et al. A seer database study of malignant teratomas in the head and neck region[J]. Int J Pediatr Otorhinolaryngol, 2021, 144: 110672. doi: 10.1016/j.ijporl.2021.110672.
[9] Parikh A, Driscoll CAH, Crowley H, et al. Diagnostic limitations and considerations in the imaging evaluation of advanced multicentric infantile myofibromatosis[J]. Radiol Case Rep. 2020, 15(11): 2440-2444. doi: 10.1016/j.radcr.2020.09.029.
[10] Hong X, Khalife S, Bouhabel S, et al. Rhinologic manifestations of burkitt lymphoma in a pediatric population: case series and systematic review[J]. Int J Pediatr Otorhinolaryngol. 2019, 121: 127-136. doi: 10.1016/j.ijporl.2019.03.013.
[11] 周围, 杨晓燕, 董帜, 等. 成人与儿童鼻窦胚胎性横纹肌肉瘤比较[J]. 中国医学影像学杂志, 2016,24(8): 565-569. doi: 10.3969/j.issn.1005-5185.2016.08.002. ZHOU Wei, YANG Xiaoyan, DONG Zhi, et al. Comparison of embryonal rhabdomyosarcoma of nasal sinuses in adult and pediatric patients[J]. Chin J Med Imaging, 2016,24(8): 565-569. doi: 10.3969/j.issn.1005-5185.2016.08.002.
[12] Shabani S, Kaushal M, Kaufman B, et al. Intracranial extraskeletal mesenchymal chondrosarcoma: case report and review of the literature reported cases in adults and children[J]. World Neurosurg, 2019, 129: 302-310. doi: 10.1016/j.wneu.2019.05.221.
[13] Berger MH, Lehrich BM, Yasaka TM, et al. Characteristics and overall survival in pediatric versus adult esthesioneuroblastoma: A population-based study[J]. Int J Pediatr Otorhinolaryngol. 2021, 144: 110696. doi: 10.1016/j.ijporl.2021.110696.
[14] 陈嵩, 庄文权. 鼻窦黏液表皮样癌的CT和MRI表现及鉴别诊断[J]. 临床放射学杂志, 2019,38(4): 622-626. doi:10.13437/j.cnki.jcr.2019.04.012. CHEN Song, ZHUANG Wenquan. CT and MRI manifestations and differential diagnosis of mucoepidermoid carcinoma of sinuses[J]. J Clin Radiol, 2019,38(4): 622-626. doi:10.13437/j.cnki.jcr.2019.04.012.
[1] YANG Yang, WANG Xiaoxu, ZHANG Jie. Progress on diagnosis and treatment of middle ear cholesteatoma in children [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(1): 1-6.
[2] GAO Xinzhong, LING Zongtong, SHEN Ling, LIU Pingfang, LIN Xin,XU Yangyang. Analysis of the efficacy of balloon eustachian tuboplasty combined with adenoidectomy in the treatment of otitis media with effusion in children [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(1): 7-12.
[3] HU Chunyan, DANG Panhong, ZHANG Rui, FAN Mengyun. Analysis of audiological and imaging characteristics of 149 children with unilateral sensorineural hearing loss [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(1): 31-36.
[4] DANG Panhong, ZHANG Rui, HU Chunyan, WANG Jie, FAN Mengyun. Clinical analysis of facial nerve decompression via an external transmastoid-subtemporal labyrinth approach in eight children [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(1): 37-42.
[5] LIU Shanshan, HAN Shujing, WANG Xiaoxu, LI Yanhong, NI Xin, ZHANG Jie. Hearing loss in children after bacterial meningitis: a systematic review and meta-analysis [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(1): 48-54.
[6] JIAO Xuemei, YANG Yang, LI Chunfeng, ZHANG Xiaolin. Effect of tympanic membrane insertion on the function of eustachian tube in children with secretory otitis media [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(1): 60-63.
[7] WANG Pengpeng, GE Wentong, TANG Lixing, YANG Xiaojian, ZHANG Wei, XIAO Xiao, HAN Yang. Four cases of open rhinoplasty approach for congenital nasal dermoid and sinus cysts in children and literature review [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(1): 64-69.
[8] LI Menghui, ZHI Lili, QI Kaiwen, WANG Shanshan, GAO Qian, BU Meiling,. Clinical research of subcutaneous immunotherapy on children with allergic asthma caused by dust mites and combined with mold allergen [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(1): 75-80.
[9] ZENG Bin, LÜ Dan, REN Jia, HU Juanjuan, YU Lingyu, LU Huan, YANG Hui. Application of laryngeal microsurgery in severe neonatal upper airway obstruction [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(1): 95-99.
[10] SHI Xiaoli, MU Hong. Multidisciplinary diagnosis and treatment of a child with severe obstructive sleep apnea syndrome complicated by pulmonary hypertension [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(1): 116-119.
[11] ZHAO Xinghe, FAN Mingyue, DOU Xunwu, JIA Guangbiao. Primary large B-cell lymphoma of tonsil in children: a case report and document review [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(1): 120-124.
[12] LU XiaoyanOverview,WEN ShuxinGuidance. Advances in the treatment of congenital choanal atresia [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(1): 138-142.
[13] YUAN Chenyang, LIU YanOverview,FANG ZhenshengGuidance. Advances on the effect of OSAHS on pulmonary function in children [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(1): 143-148.
[14] LIU Yi, YU Mingkun, SUN Wei, SHAO Zhen, HU Yuanyuan, BI Hongsheng. The effectiveness and safety of orthokeratology on controlling myopia of children: a meta-analysis [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(6): 92-100.
[15] ZHOU YuxiangOverview,MIAO Beiping, LU YongtianGuidance. Treatment progress of endoscopic surgery for first diagnosed nasopharyngeal carcinoma [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(6): 108-112.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
Website Copyright: Editorial Office of Journal of Otolaryngology and Ophthalmology of Shandong University
Address: No.27 Shanda South Road, Jinan, Shandong, China. Post code: 250100 Tel: +86-0531-88366912 Email: ebhxb@sdu.edu.cn Supported by Beijing Magtech Co.Ltd