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👁️🗨️👃Caution: Midline masses around the nose could be connected to the brain. There are 3 congenital midline nasal masses that need to be evaluated with imaging before anything is done to them: 1️⃣ Nasal Dermoids: most common, can be a pit or tuft of hair, 4% have an intracranial extension. Removal must follow deep to the bone or could recur. 2️⃣ Nasal Encephalocele: A direct extension of brain, CSF, or meninges into the nose. + gets bigger with crying, (+) Furstenberg sign, trans-iluminates, compressible. Removal requires a combination of neurosurgery, ENT, plastics. 3️⃣ Nasal Glioma: heterotopic brain tissue that is not connected to the brain. Non-compressible. 🩻MRI is imaging of choice to see if its connected to the brain. CT can also be helpful to see the bony defect in the skull base. *images from Current Diagnosis & Treatment: Otolaryngology #entdoctor #midlinenasalmass #nasaldermoid #encephalocele #glioma #congenital #embryology #coolfacts @teachmedoc for more medical education The content of this YouTube channel is provided for informational purposes only and is not intended to constitute medical advice. You should not rely upon any information contained on this YouTube channel for medical advice. MD On Delivery and Teach Me Doc does not make any representation, warranty, or guarantee about the accuracy of the information contained in this YouTube channel or in links to other YouTube channels or websites. This YouTube channel is provided "as is," does not represent that any outcome or result from viewing of this channel. Your use viewing of this YouTube channel is at your own risk. You enjoy this YouTube channel and its contents only for personal, non-commercial purposes. Teach Me Doc(MD On Delivery), nor any of its employees, will be liable under any circumstances for damages of any kind. Teach Me Doc® and MD On Delivery® is a registered trademark © MD On Delivery and © Teach Me Doc All rights reserved.