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

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.

“PINOCCHIO”: A Rare Case Report

“…Autologous cartilage is the material of choice for dorsal augmentation. 5 Reconstructing the defect using only septal cartilage is insufficient for dorsal augmentation, whereas costal cartilage has been associated with donor site morbidity. Moreover, Asians have a relatively smaller septal cartilage and in younger patients the amount of cartilage is quite small, thereby requiring the preservation of large L-strut.…”

Novel surgical approach to nasal dorsum midline dermoid sinus cyst

“…The external approach, also known as an open approach or external rhinoplasty, involves making an incision on the skin surface of the nose. This technique is usually employed when the cyst is large, deeply located, or extends into the nasal bones or frontal sinus [ 8 , 9 ]. The endoscopic approach is a minimally invasive technique that utilizes an endoscope, a thin, flexible tube with a light and camera, to visualize and access the nasal cavity.…”

Surgical Outcomes of Primary and Revision Augmentation Rhinoplasty using a Processed Fascia Lata

“…1 The material is also applied in nasal tip surgery, reconstruction of the paranasal sinuses, and reconstruction of the nasal dorsum. [8][9][10] There are several reasons why this material has achieved a moderate degree of popularity in Asian rhinoplasty, including a good safety profile, ease of manipulation, and its ability to provide a smooth postoperative contour of the nasal dorsum. Above all, safety is the most significant factor that distinguishes TPFL from commonly used alloplastics.…”