Sino-nasal nodular fasciitis in a child: Case report and review of literature

Abstract

Nodular fasciitis (NF) is a benign reactive fibroblastic process which belongs to pseudosarcomatous proliferative lesions of soft tissues. Its occurrence is uncommon in the pediatrics with only a handful of cases reported in the sino-nasal area. We report a 14-month old boy, presented with right facial swelling caused by a 5 cm tumor involving the sino-nasal area with erosion of the floor of the orbit and extension into the pterygopalatine fossa. The lesion was completely excised through a midfacial degloving approach. Histological examination revealed the diganosis of NF. The postoperative period was uneventful with no evidence of recurrence 24-months postoperatively. © 2016 Elsevier Ltd