Page 62 - Revista Portuguesa - SPORL - Vol 52 Nº3

CASE REPORT FIGURE 1
A 54-days-old boy was referred to our tertiary care Lactent before surgery: bulging of the right side of nasal
pediatric hospital with severe nasal obstruction pyramid and septum, proptosis and periorbital edema
caused by a mass of right nasal cavity. He had a history
of difficulty breathing since birth, which had been
progressively worsening, causing stertor, suprasternal
and intercostal indrawing and feeding problems. The
right nasal cavity mass had increased in size since birth
and was responsible for bulging of the right side of nasal
pyramid and septum, proptosis and periorbital edema
(figure 1).
There was no history of trauma and ante- and postnatal
histories revealed no contributory factors.
Anterior rhinoscopy revealed a large pale, solid and non-
pulsating mass, with elastic consistency, occluding the
right nasal cavity and covered with serous secretions.
It had a vessel on its anterior surface. The mass was
bulging the nasal septum to the left, which was partially
obstructing the left nasal cavity. The remainder of his
head and neck examination was normal.
Magnetic resonance scan of the nasal cavities and
brain confirmed the neoformation of about 30mm x
16mm x 22mm, which filled the right nasal cavity and
caused bulging of nasal septum, of right side of soft
palate and internal wall of right orbit, with no orbit
invasion. Posteriorly, it extended into the nasopharynx.
The lesion was hypointense on T1-weighted images

FIGURE 2
Magnetic resonance scan: T2 images showing a hyperintense mass; there is bulging of nasal septum and periorbital edema; coronal
image shows the mass filling the right nasal cavity.

180 REVISTA PORTUGUESA DE OTORRINOLARINGOLOGIA E CIRURGIA CÉRVICO-FACIAL