Endoscopic management of nasal glioma in infancy.

In the surgical treatment of nasal glioma, craniotomy has been recommended for excluding the possibility of intracranial extension of the lesion. We describe a case in whom intranasal glioma was successfully removed by endoscopic surgery without craniotomy at 4 months old. Intranasal endoscopic surgery is considered appropriate for the removal of intranasal glioma having no intracranial extension, since the procedure is less invasive and does not result in postoperative facial deformity. Intranasal endoscopic surgery is also proposed as the preferable procedure to craniotomy for excluding intracranial extension of intranasal glioma.