A Case of Nasal Dermoids Removed Via the Open Rhinoplasty Approach
10.3342/kjorl-hns.2024.00052
- Author:
Sang-Wook PARK
1
;
Jae Hoon KIM
;
Jung Tak OH
;
Sang-Wook KIM
Author Information
1. Department of Otorhinolaryngology, Gyeongsang National University Hospital, Jinju, Korea
- Publication Type:Case Report
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2024;67(11):586-590
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Nasal dermoids are congenital midline nasal lesions that occur along with encephaloceles and gliomas. They can cause both deformity of nasal structure and intracranial infection as they grow. Treatment for these lesions is be concerned with two aspects, the complete removal of the lesions and making the surgical scar cosmetically acceptable. To that goal, many surgical approaches such as vertical incision, transverse incision, lateral rhinotomy and open rhinoplasty have been introduced. A 12-month male child presented with palpable mass at nasal root. The mass was easily movable, non-compressible and did not present fistula. A well-defined cystic mass without intracranial extension was found on the computerized tomography scans. Open rhinoplasty approach was opted for according to the guardians’ preference to avoid visible facial scar, and the lesions were completely resected. The pathologic examination confirmed the lesion to be nasal dermoids. The columellar scar was negligible and there was no recurrence at 5 year-follow up after surgery.
