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경비주 접근법으로 안면부 손상없이 제거한 비전두 유피낭종 1예

A Case of Nasofrontal Dermoid Cyst Via Transcollumelar Approach

  • 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)
  • 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)
  • 투고 : 2019.11.12
  • 심사 : 2020.04.26
  • 발행 : 2020.05.31

초록

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.

키워드

참고문헌

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