Nasal Glioma: An Unusual Presentation in Adult

The nasal glioma is a rare congenital nasal abnormality, which manifests as a mass of extracranial cerebral tissue unconnected with the brain. The clinical entity is challenging for several reasons. Their diagnosis may not be immediately obvious at presentation. It is important to exclude an intracranial extension, and for this some have suggested a craniotomy. We report a case of extranasal glioma with intracranial extension was removed successfully by combined extracranial and endoscopic approach without craniotomy. Intranasal endoscopic surgery is a less invasive and safe procedure for the management of nasal glioma and does not result in postoperative facial scarring and deformity. Endoscopic techniques provide excellent visualization and are preferable to the classic frontal craniotomy to exclude intracranial extension of nasal glioma. In this report, the management and the benefits of endoscopy in cases with nasal glioma are discussed.