Open septorhinoplasty approach for the excision of a dermoid cyst and sinus with primary dorsal reconstruction

Abstract

Adult nasal dermoid cysts and sinuses are rare. Here we describe the surgical management of a 37-year-old patient with a longstanding nasal dermoid cyst and discharging sinus. A combination of an open rhinoplasty approach with a small dorsal incision was used to excise the lesion followed by primary reconstruction with septal cartilage.

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

“…Most repairs of nasal defects after NDSC excision using an open rhinoplasty approach have used autologous septal and costal cartilages as graft materials for reconstruction (8-10). Although autologous cartilage is the material of choice for dorsal augmentation, the amount of harvested septal or conchal cartilage is often insufficient; in addition, costal cartilage has been associated with donor site morbidity.…”

“…The selection of the appropriate reconstruction technique, after dermoid resection, however, is also important. Autologous septal or costal cartilage has been used for the repair of a dorsal defect (8-10). Among the limitations of autologous graft material in pediatric patients is an insufficient amount of septum and separate donor site morbidity.…”

The Transglabellar Subcranial Approach for Nasal Dermoids with Intracranial Extension

“…Although nasal dermoids are relatively rare anomalies, they do represent the most common congenital midline nasal lesions 8 . Nasal dermoids usually present in infancy because of their congenital nature, although there have been reports of diagnosis during adulthood 9 . The extent of these lesions can vary from superficial involvement to extension as deep as the intracranial space.…”

“…8 Nasal dermoids usually present in infancy because of their congenital nature, although there have been reports of diagnosis during adulthood. 9 The extent of these lesions can vary from superficial involvement to extension as deep as the intracranial space. Reports of the frequency of intracranial extension of nasal dermoids range from 4% to 45%.…”

Access to the crista galli and the foramen caecum in nasal dermal sinus cysts – lessons learned in a single tertiary care centre

“…In contrast, nasal dermoids are cystic lesions without a pit. They are treated by direct excision or an open rhinoplasty approach (5)(6)(7)(8)(9) . The approach for NDSC is still controversial.…”