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A Case of Nasofrontal Dermoid Cyst Via Transcollumelar Approach

경비주 접근법으로 안면부 손상없이 제거한 비전두 유피낭종 1예

  • Lee, Kang Hyun (Department of Otorhinolaryngology-Head and Neck Surgery, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Lee, Sung Min (Department of Otorhinolaryngology-Head and Neck Surgery, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Kim, Sang Wook (Department of Otorhinolaryngology-Head and Neck Surgery, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Park, Ki Joon (Department of Otorhinolaryngology-Head and Neck Surgery, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Kim, Dong-Kyu (Department of Otorhinolaryngology-Head and Neck Surgery, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine)
  • 이강현 (한림대학교 의과대학 춘천성심병원 이비인후-두경부외과학 교실) ;
  • 이성민 (한림대학교 의과대학 춘천성심병원 이비인후-두경부외과학 교실) ;
  • 김상욱 (한림대학교 의과대학 춘천성심병원 이비인후-두경부외과학 교실) ;
  • 박기준 (한림대학교 의과대학 춘천성심병원 이비인후-두경부외과학 교실) ;
  • 김동규 (한림대학교 의과대학 춘천성심병원 이비인후-두경부외과학 교실)
  • Received : 2019.11.12
  • Accepted : 2020.04.26
  • Published : 2020.05.31

Abstract

The midline nasal dermoid cysts are rare congenital neoplasms, which are diagnosed frequently in childhood. Masses are often noticeable at birth gaining size over time with recurrent infections and usually arise from the nasal cavity or lower 1/3 of the nasal dorsum. CT scan as the primary investigation is helpful to determine accurately the size and extent of the lesion as well as the integrity of adjacent bony structures. MRI scan is recommended to rule out an intracranial extension or sinus tracts. Treatment of choice is the complete surgical excision preserving the cyst wall. Here in, we present an unusual case of nasofrontal dermoid cyst in a 19-year-old boy without radiographic evidence of transcranial extension. In this case, we surgically removed nasofrontal dermoid cyst via transcolumellar approach. We also corrected saddle nose deformity after mass removal. Therefore, in this case, we experienced a successful case in which the nasofrontal dermoid cyst was totally removed without facial scar and deformity.

Keywords

References

  1. Nocini PF, Barbaglio A, Dolci M, Salgarelli A. Dermoid cyst of the nose: a case report and review of the literature. J Oral Maxillofac Surg 1996;54:357-362. https://doi.org/10.1016/S0278-2391(96)90761-2
  2. Sessions RB. Nasal dermal sinuses: new concepts and explanations. Laryngoscope 1982;92:1-28. https://doi.org/10.1288/00005537-198208001-00001
  3. Pensler JM, Batter BS, Naidich TP. Craniofacial dermoids. Plast Reconstr Surg 1988;82:953-958. https://doi.org/10.1097/00006534-198812000-00003
  4. Griffith BH. Frontonasal tumors: Their diagnosis and management. Plast Reconstr Surg 1976;57:692-699. https://doi.org/10.1097/00006534-197606000-00002
  5. Posnick JC, Bortoluzzi P, Armstrong DC. Nasal dermoid sinus cyst: An unusual presentation, computed tomographic scan findings, and surgical results. Ann Plast Surg 1994;32:519-523. https://doi.org/10.1097/00000637-199405000-00014
  6. Frodel JL, Larrabee WF, Raisis J. The nasal dermoid. Otolaryngol Head Neck Surg 1989;101:392-396. https://doi.org/10.1177/019459988910100314
  7. Barkovich J, Vandermarck P, Edwards M, Cogen PH. Congenital nasal masses: CT and MRI imaging features in 16 cases. Am J Neuroradiol 1991;12:105-116.
  8. Lindbichler F, Braun H, Raith J, Ranner G, Kugler C, Uggowitzer M. Nasal dermoid cyst with a sinus tract extending to the frontal dura mater: MRI. Neuroradiology 1997;39:529-531. https://doi.org/10.1007/s002340050460
  9. Volck AC, Suarez GA, Tasman AJ. Management of congenital midline nasofrontal masses: case report and review of literature. Case Rep Otolaryngol. 2015;2015:159647. https://doi.org/10.1155/2015/159647
  10. Hughes GB, Sharpino G, Hunt W, Tucker HM. Management of the congenital midline nasal mass: a review. Head Neck Surg 1980;2:222-233. https://doi.org/10.1002/hed.2890020308
  11. Paller AS, Pensler JM, Tomita T. Nasal midline masses in infants and children. Dermoids, encephaloceles, and gliomas. Arch Dermatol 1991;127:362-366. https://doi.org/10.1001/archderm.1991.01680030082011
  12. Hsieh YY, Hsueh S, Hsueh C, Lin JN, Luo CC, Lai JY, et al. Pathological analysis of congenital cervical cysts in children: 20 Years of experience at Chang Gung Memorial Hospital. Chang Gung Med J 2003;26:107-113.
  13. Denoyelle F, Ducroz V, Roger G, Garabedian EN. Nasal dermoid sinus cysts in children. Laryngoscope 1997;107:795-800. https://doi.org/10.1097/00005537-199706000-00014
  14. Pollock R. Surgical approaches to the nasal dermoid cyst. Ann Plast Surg 1983;10:498-501. https://doi.org/10.1097/00000637-198306000-00012
  15. Morrissey MS, Bailey CM. External rhinoplasty approach for nasal dermoids in children. Ear Nose Throat J. 1991;70(7):445-449.