The Transglabellar Subcranial Approach for Nasal Dermoids with Intracranial Extension

Kellman, Robert M.; Goyal, Parul; Rodziewicz, Gerard S.

doi:10.1097/00005537-200408000-00009

Cited by 27 publications

(31 citation statements)

References 17 publications

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“…Various techniques have been described, removing all or part of the frontal bones via a coronal 11,12 or subcranial approach. 13 The technique used in this series was a coronal flap combined with a bifrontal craniotomy to approach the intracranial component and a direct excision for the subcutaneous cyst or sinus. In one patient, debridement of necrotic, infected frontal bone was required to eliminate chronic osteomyelitis.…”

Section: Discussionmentioning

confidence: 99%

Nasal Dermoid Sinus Cysts

Blake

Chow

Holmes

et al. 2006

Annals of Plastic Surgery

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Nasal dermoid sinus cysts are uncommon congenital anomalies presenting either as cysts or sinuses. They are frequently associated with extension into the intracranial space, requiring craniotomy for adequate resection. At the Royal Children's Hospital in Melbourne, Australia, we have managed 25 patients with nasal dermoid sinus cysts over 8 years and present details of clinical features, preoperative assessment, and surgical management. Six patients presented with infection, including 1 with osteomyelitis. Four of our patients had intracranial extension of their lesions, and all were treated successfully with tailored investigation and appropriate surgical procedures. Insights into diagnosis, investigation, and surgery are offered to facilitate the management of these challenging lesions.

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Section: Discussionmentioning

confidence: 99%

Nasal Dermoid Sinus Cysts

Blake

Chow

Holmes

et al. 2006

Annals of Plastic Surgery

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“…Given that these lesions, infection risk aside, are resected because of the cosmetic appearance then careful selection of approach is paramount. Midline vertical nasal incision, transverse nasal incision, paramedical incision, medial canthal incison and eyebrow incision, gullwing incision and bicoronal flap have all been advocated along with external rhinoplasty for nasal dermoids [4,[7][8][9]. All of these incisions leave a scar on the face.…”

Section: Discussionmentioning

confidence: 99%

The external rhinoplasty approach for congenital nasal lesions in children

Locke

Kubba

2011

International Journal of Pediatric Otorhinolaryngology

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“…Most publications on NDSC are case reports, small series of patients or reviews (5,10,(12)(13)(14)20) . Larger published series either combined ectodermal and neuroectodermal masses or they summarized di erent malformations under the label of NDSC (8,9,11) .…”

Section: De Nition Of Ndscmentioning

confidence: 99%

“…The approach for NDSC is still controversial. Several techniques have been suggested, including transfacial, open rhinoplasty and coronal approaches (5,(8)(9)(10)(11)(12)(13)(14) .…”

Section: Introductionmentioning

confidence: 99%

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

Vital¹,

Krayenbuhl²,

Bozinov³

et al. 2013

Rhin

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Access to the crista galli and the foramen caecum in nasal dermal sinus cystslessons learned in a single tertiary care centre* Summary Objective: Several surgical techniques have been suggested for the treatment of nasal dermal sinus cysts (NDSC). We have used several di erent techniques and have developed a minimally invasive approach. The aim of this study is to describe the evolution to this approach and compare the results with those achieved with our experience of more traditional techniques. Methodology/Principal:A retrospective data collection of patients with NDSC presenting to our clinic between 1998 and 2012 was performed. We initially performed external approaches as outlined elsewhere. With an increasing number of young children requiring surgery, the technique was modi ed to a less invasive form. This new approach starts with mobilisation of the pit via a tiny skin incision. An open rhinoplasty approach is used to follow the stula on the nasal bone. Once the stula passes underneath the nasal bone, an endoscopic endonasal approach is used. Following the stula cranially, the area of the foramen caecum can be identi ed.Results: Twelve out of 15 patients (80%) were treated surgically. The transfacial, coronal subcranial and minimally invasive approach was used in 3 (25%), 4 (33%) and 5 patients (42%), respectively. Radical resection was achieved in all patients. Cosmetic problems were present in all patients undergoing a transfacial and in half of the patients after the coronal subcranial approach.Patients treated by the minimally invasive technique remained without sequelae. Conclusion:The minimally invasive approach enables a perfect exposure of the stula up to the crista galli and provides less morbidity and better cosmetic results than the transfacial and subcranial approach.

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The Transglabellar Subcranial Approach for Nasal Dermoids with Intracranial Extension

Cited by 27 publications

References 17 publications

Nasal Dermoid Sinus Cysts

Nasal Dermoid Sinus Cysts

The external rhinoplasty approach for congenital nasal lesions in children

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

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