External rhinoplasty excision of a nasal tip glioma in a 6-month-old infant: Case report and review of the literature

Pre-operative family photos: 3 days, 5 months, 6 months, 6 1/2 months (a)–(d) respectively).

IV-contrast enhanced coronal CT at 3-months old (a) and non-enhanced axial (b) CT at 5-months old, showing nasal tip mass.

Intra-operative frontal and oblique views showing large mass at nasal tip/supratip area causing depression and medial rotation of the lower lateral cartilage and caudal septum.

Intra-operative photos showing the gross tumor (a), the nasal cartilage framework after tumor removal (b), and the nasal skin-soft tissue envelope re-draped with conchal cartilage graft (c).

Hematoxylin/Eosin (a) stain showed spindle-shaped cells with fibrillary, eosinophilic cytoplasm forming islands surrounded by fibrous tissue bands. S100 (b) and Glial fibrillary acidic protein (GFAP, c) were positive. Neurofilament stain was negative (d). Final pathological diagnosis was nasal glioma (glial heterotopia) with fibrosis.

Family photos taken 4 weeks (a) and 6-weeks (b) after surgery. There were no complications. On 6-month follow-up, the family is pleased with the result and has no complaints.