Myocutaneous sternocleidomastoid flap for reconstruction after the resection of a parapharyngeal heterotopic glioma in a child with cleft palate, and systematic review of parapharyngeal glial heterotopia

Abstract We describe the surgery and reconstruction employed with a sternocleidomastoid myocutaneous flap for the treatment of a heterotopic glioma in a 2-year-old boy with incomplete palatal fissure who presented with dysphagia and snoring, in whom a lateral pharyngeal wall mass obstructing 60% of...

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Bibliographic Details
Published in:International journal of pediatric otorhinolaryngology 2016-02, Vol.81, p.51-54
Main Authors: Prado-Calleros, Héctor M, Arrieta-Gómez, José R, Castillo-Ventura, Beatriz, Martínez, Sara Parraguirre, Jiménez-Gutiérrez, Carlos, Jiménez-Escobar, Irma
Format: Article
Language:English
Subjects:
Child, Preschool
Choristoma - diagnosis
Choristoma - surgery
Cleft palate
Cleft Palate - complications
Cleft Palate - surgery
Glioma - surgery
Heterotopic glioma
Humans
Male
Muscle, Skeletal - surgery
Otolaryngology
Parapharyngeal tumor
Pediatrics
Pharyngeal Neoplasms - complications
Pharyngeal Neoplasms - surgery
Pharynx - pathology
Reconstructive Surgical Procedures - methods
Sternocleidomastoid myocutaneous flap
Surgical Flaps - surgery
Tomography, X-Ray Computed
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Summary:Abstract We describe the surgery and reconstruction employed with a sternocleidomastoid myocutaneous flap for the treatment of a heterotopic glioma in a 2-year-old boy with incomplete palatal fissure who presented with dysphagia and snoring, in whom a lateral pharyngeal wall mass obstructing 60% of the airway was noted. Heterotopic gliomas are uncommonly reported in the parapharyngeal space and should be included in the differential diagnosis at this location in children. Parapharyngeal tumors present difficult diagnostic and management challenges; head and neck surgeons must be prepared not only for the resection but also for the reconstruction of these rare lesions.
ISSN:0165-5876
1872-8464
DOI:10.1016/j.ijporl.2015.12.003