Clin Exp Otorhinolaryngol.  2010 Mar;3(1):48-51.

Excision of a Nasal Dermoid Sinus Cyst via Open Rhinoplasty Approach and Primary Reconstruction Using Tutoplast-Processed Fascia Lata

• Kim JH
• Wang JH
• Jang YJ

Abstract

Nasal dermoid sinus cysts are the most common congenital midline nasal lesion, accounting for 1% to 3% of all dermoid cysts, and 4% to 12% of all head and neck dermoids. Selection of the appropriate reconstruction technique, after dermoid resection, is important for treatment. Here we describe the successful management of a case with a nasal dermoid sinus cyst using an open rhinoplasty approach, and primary reconstruction using Tutoplast-processed fascia lata and crushed septal cartilage.

Keyword

Nasal dermoid sinus cyst; Open rhinoplasty; Tutoplast-processed fascia lata

MeSH Terms

Accounting
Cartilage
Dermoid Cyst
Fascia
Fascia Lata
Head
Neck
Rhinoplasty

Figure

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  Fig. 1 Preoperative frontal (A) and lateral (B) view.

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  Fig. 2 Sagittal T1-weighted, gadolinium-enhanced MRI reveals the nasal dermoid sinus cyst on the nasal dorsum without intracranial extension.

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  Fig. 3 (A) Endoscopic view of the nasal dermoid sinus cyst containing hair. (B) Histopathology of the nasal dermoid sinus cyst lined by stratified squamous epithelium with cutaneous adnexal structures, (e.g. sebaceous glands) in the fibroconnective tissue wall (H&E, ×200).

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  Fig. 4 Two-year postoperative frontal (A) and lateral (B) views.

Reference

1. Hughes GB, Sharpino G, Hunt W, Tucker HM. Management of the congenital midline nasal mass: a review. Head Neck Surg. 1980; Jan–Feb. 2(3):222–233. PMID: 7353954.

2. Denoyelle F, Ducroz V, Roger G, Garabedian EN. Nasal dermoid sinus cysts in children. Laryngoscope. 1997; 6. 107(6):795–800. PMID: 9185736.

3. Blake WE, Chow CW, Holmes AD, Meara JG. Nasal dermoid sinus cysts: a retrospective review and discussion of investigation and management. Ann Plast Surg. 2006; 11. 57(5):535–540. PMID: 17060735.

4. Posnick JC, Bortoluzzi P, Armstrong DC, Drake JM. Intracranial nasal dermoid sinus cysts: computed tomographic scan findings and surgical results. Plast Reconstr Surg. 1994; 4. 93(4):745–754. PMID: 8134433.

5. Rahbar R, Shah P, Mulliken JB, Robson CD, Perez-Atayde AR, Proctor MR, et al. The presentation and management of nasal dermoid: a 30-year experience. Arch Otolaryngol Head Neck Surg. 2003; 4. 129(4):464–471. PMID: 12707196.

6. Pollock RA. Surgical approaches to the nasal dermoid cyst. Ann Plast Surg. 1983; 6. 10(6):498–501. PMID: 6349506.

7. Morrissey MS, Bailey CM. External rhinoplasty approach for nasal dermoids in children. Ear Nose Throat J. 1991; 7. 70(7):445–449. PMID: 1914965.

8. Loke DK, Woolford TJ. Open septorhinoplasty approach for the excision of a dermoid cyst and sinus with primary dorsal reconstruction. J Laryngol Otol. 2001; 8. 115(8):657–659. PMID: 11535151.

9. Rohrich RJ, Lowe JB, Schwartz MR. The role of open rhinoplasty in the management of nasal dermoid cysts. Plast Reconstr Surg. 1999; 12. 104(7):2163–2170. PMID: 11149785.

10. Mankarious LA, Smith RJ. External rhinoplasty approach for extirpation and immediate reconstruction of congenital midline nasal dermoids. Ann Otol Rhinol Laryngol. 1998; 9. 107(9 Pt 1):786–789. PMID: 9749549.

11. Jang YJ, Wang JH, Sinha V, Song HM, Lee BJ. Tutoplast-processed fascia lata for dorsal augmentation in rhinoplasty. Otolaryngol Head Neck Surg. 2007; 7. 137(1):88–92. PMID: 17599572.