✦ LIBER ✦

Controversies: Nasal mass in a pediatric patient

✍ Scribed by James R. Reilly; Dr. Charles F. Koopman; Dr. Robin Cotton

Publisher: John Wiley and Sons
Year: 1992
Tongue: English
Weight: 362 KB
Volume: 14
Category: Article
ISSN: 1043-3074
DOI: 10.1002/hed.2880140514

No coin nor oath required. For personal study only.

✦ Synopsis

Fortunately, few tumors that present in the newborn period are malignant. However, the mere existence of a mass in a neonate presents special concerns. What is the location of the mass? Is there involvement of vital structures? And, in the case of an intranasal mass, the question is not whether the mass is treated, but when and how?

You are called to the newborn nursery to evaluate a full term, 7 lb. 2 oz. infant who is having difficulty breathing while breast feeding. The mother and pediatrician deny stridor, apnea, or duskiness. The baby has a normal cry and no difficulty breathing at rest.

Examination reveals a fleshy, nonfriable mass in the left nares (Figure 1). The face is symmetrical, although the nasal dorsum is slightly wide. No pits or dimples are noted over the glabella. Neurologic and head and neck examinations are normal.

Readers are invited to submit particularly difficult cases for consideration to

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