Mucous Cysts of the Nose: A Postrhinoplasty Complication?

Abstract

Mucous cysts are very rare complications following rhinoplasty; less than 20 cases have been reported in literature. We present 2 new cases. The first case presented a cyst located beneath the glabella and above the articulation between the spina nasalis and the os nasale. The lesion first appeared 22 months following elective rhinoplasty. The treatment was complete surgical excision using a direct open approach. In the second case, a cyst was indentified between the right inner canthus and the sidewall of the nose. It appeared 6 months following elective rhinoplasty. The treatment was complete surgical excision through a transcartilaginous approach. Both patients had good postoperative results with no evidence of recurrence after a 7- and 8-year follow-up period, respectively. We believe that it is possible to prevent the appearance of mucous cysts after rhinoplasty, with careful dissection and avoidance of dispersion of mucosal material into a subcutaneous plane.

Excision and reconstruction of dorsal nasal mucous cyst using dorsal nasal flap technique: a case report and literature review

“…Before confirming MC diagnosis, multiple differential diagnoses have to be excluded, such as neoplastic lesions, encephaloceles, gliomas, lipomas, osteomas, and dermoid cysts. Therefore, comprehensive history taking, physical examination, nasal endoscopy, and radiographic studies will help to narrow down the differential diagnosis [ 9 ].…”

Mucous Cysts as a Complication of Rhinoplasty

“…(Mouly, 1970;Rettinger and Zenkel, 1997;Bracaglia et al 2005;Riedel et.al. 2007;Pausch et al 2010;Ntomouchtsis et al 2010;Dionyssopoulos et al 2010) …”

“…Endonasal intercartilagineous and intracartilagineous incisions, although they offer limited exposure, they have been used successfully for mucous cysts involving the tip and supratip regions. (Flaherty et al, 1996;Kotzur and Gubisch, 1997;Shulman and Westreich, 1983;;Dionyssopoulos et al 2010) Extracolumellar incision is used for an open rhinoplasty technique. It gives excellent exposure for complete extirpation of the lesion and reconstruction of the defect and leaves inconspicuous scars in the long run.…”

Nasal tip abscess due to adverse skin reaction to Prolene: an unusual long term complication of rhinoplasty

“…Both aesthetic and non-aesthetic complications of rhinoplasty have been reported. [1][2][3] Post-rhinoplasty infection of the nose is a much less frequently encountered complication, and is not well documented. Foda investigated 500 external rhinoplasty cases, and described a post-operative infection rate of 2.4 per cent.…”