Hostname: page-component-cd9895bd7-gbm5v Total loading time: 0 Render date: 2024-12-24T00:25:06.206Z Has data issue: false hasContentIssue false
  • English
  • Français

Closed rhinoplasty approach for excision of nasal dermoids

Published online by Cambridge University Press:  11 December 2009

R L Harris  and
H Daya
R L Harris*
Affiliation:
Department of Otolaryngology, St George's Hospital, London, UK
H Daya
Affiliation:
Department of Otolaryngology, St George's Hospital, London, UK
*
Address for correspondence: Mr Robert L Harris, Department of Otolaryngology, St George's Hospital, Blackshaw Road, London SW17 0QT, UK. Fax: +44 (0)208 7253306 E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

To assess the efficacy of excision of nasal dermoids through a closed rhinoplasty incision. This is the first description of the use of this approach for excision of superficial nasal dermoids.

Methods:

Three boys aged five, nine and 12 years presented with midline nasal dermoids with minimal cutaneous involvement. Magnetic resonance imaging demonstrated distinct, cystic, superficial nasal masses. The cysts were excised through a closed rhinoplasty approach. In each case, completeness of extirpation was judged by histopathological examination of the excised specimen. Aesthetic outcome was recorded photographically.

Results:

All three patients' cysts were completely excised, with excellent cosmetic results.

Conclusions:

The closed rhinoplasty incision is another approach in the surgeon's armamentarium for excision of small, superficial nasal dermoid cysts. In well selected cases, this approach gives optimal cosmetic results, provides adequate exposure with minimal dissection, and allows total extirpation.

Keywords

Nasal DermoidRhinoplasty
Type
Short Communications
Information
The Journal of Laryngology & Otology , Volume 124 , Issue 5 , May 2010 , pp. 538 - 542
Copyright
Copyright © JLO (1984) Limited 2009

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1Hughes, GB, Sharpino, G, Hunt, W, Tucker, HM. Management of the congenital midline nasal mass: a review. Head Neck Surg 1980;2:222–33CrossRefGoogle ScholarPubMed
2Pensler, JM, Bauer, BS, Naidich, TP. Craniofacial dermoids. Plast Reconstr Surg 1988;82:953–8CrossRefGoogle ScholarPubMed
3Zapata, S, Kearns, DB. Nasal dermoids. Curr Opin Otolaryngol Head Neck Surg 2006;14:406–11CrossRefGoogle ScholarPubMed
4Pollock, RA. Surgical approaches to the nasal dermoid cyst. Ann Plast Surg 1983;10:498–501CrossRefGoogle Scholar
5Denoyelle, F, Ducroz, V, Roger, G, Garabedian, EN. Nasal dermoid sinus cysts in children. Laryngoscope 1997;107:795–800CrossRefGoogle ScholarPubMed
6Bradley, PJ. Results of surgery for nasal dermoids in children. J Laryngol Otol 1982;96:627–33CrossRefGoogle ScholarPubMed
7Kelly, JH, Strome, M, Hall, B. Surgical update on nasal dermoids. Arch Otolaryngol 1982;108:239–42CrossRefGoogle ScholarPubMed
8Rahbar, R, Shah, P, Mulliken, JB, Robson, CD, Perez-Atayade, AR, Proctor, MR et al. The presentation and management of nasal dermoid: a 30-year experience. Arch Otolaryngol Head Neck Surg 2003;129:464–71CrossRefGoogle Scholar
9Posnick, JC, Bortoluzzi, P, Armstrong, DC. Nasal dermoid sinus cysts: an unusual presentation, computed tomographic scan findings, and surgical results. Ann Plast Surg 1994;32:519–23CrossRefGoogle ScholarPubMed
10Yavuzer, R, Bier, U, Jackson, IT. Be careful: it might be a nasal dermoid cyst. Plast Reconstr Surg 1999;103:2082–3CrossRefGoogle ScholarPubMed
11Rohrich, RJ, Lowe, JB, Schwartz, MR. The role of open rhinoplasty in the management of nasal dermoid cysts. Plast Reconstr Surg 1999;104:2163–70CrossRefGoogle ScholarPubMed
12Weiss, DD, Robson, CD, Mulliken, JB. Transnasal endoscopic excision of midline nasal dermoid from the anterior cranial base. Plast Reconstr Surg 1998;102:2119–23CrossRefGoogle ScholarPubMed
13Bilkay, U, Gundogan, H, Ozek, C, Tokat, C, Gurler, T, Songur, E et al. Nasal dermoid sinus cysts and the role of open rhinoplasty. Ann Plast Surg 2001;47:8–14CrossRefGoogle ScholarPubMed
14Mankarious, LA, Smith, RJ. External rhinoplasty approach for extirpation and immediate reconstruction of congenital midline nasal dermoids. Ann Otol Rhinol Laryngol 1998;107:786–9CrossRefGoogle ScholarPubMed
15Bloom, DC, Carvalho, DS, Dory, C, Brewster, DF, Wickersham, JK, Kearns, DB. Imaging and surgical approach of nasal dermoids. Int J Pediatr Otorhinolaryngol 2002;62:111–22CrossRefGoogle ScholarPubMed
16Huizing, EH, de Groot, JAM. Functional Reconstructive Nasal Surgery. Stuttgart, New York: Thieme, 2003Google Scholar
17Toriumi, DM, Johnson, CM. Open structure rhinoplasty. Fac Plast Surg Clin North Am 1993;1:1–22CrossRefGoogle Scholar
18Foda, HM. External rhinoplasty: a critical analysis of 500 cases. J Laryngol Otol 2003;117:473–7CrossRefGoogle ScholarPubMed
19Foda, HM. External rhinoplasty for the Arabian nose: a columellar scar analysis. Aesthetic Plast Surg 2004;28:312–16CrossRefGoogle Scholar
20Adamson, PA, Smith, O, Tropper, GJ. Incision and scar analysis in open (external) rhinoplasty. Arch Otolaryngol Head Neck Surg 1990;116:671–5CrossRefGoogle ScholarPubMed
21Bafaqeeh, SA, Al-Qattan, MM. Open rhinoplasty: columellar scar analysis in an Arabian population. Plast Reconstr Surg 1998;102:1226–8CrossRefGoogle Scholar
22Constantian, MB. Differing characteristics in 100 consecutive secondary rhinoplasty patients following closed versus open surgical approaches. Plast Reconstr Surg 2002;109:2097–111CrossRefGoogle ScholarPubMed
23Wardinsky, T, Pagon, R, Kropp, R, Hayden, P, Clarren, S. Nasal dermoid sinus cyst: association with intracranial extension and multiple malformations. Cleft Palate Craniofac J 1991;28:87–95CrossRefGoogle ScholarPubMed
24Carroll, C, Gaffney, R, McShane, D. Congenital nasal dermoids in children. Int J Mol Sci 1997;166:149–51Google ScholarPubMed