Endoscopic transnasal columellar V-shaped incision approach for resection of benign lesions in the nasal radix and glabellar region
10.3760/cma.j.cn114453-20240908-00228
- VernacularTitle:鼻内镜下经鼻小柱V形切口入路切除鼻根眉间良性肿物
- Author:
Na YANG
1
;
Qingyong CHEN
;
Yufen LI
;
Liqiang LIN
;
Dongqing WANG
;
Huaiqing LYU
Author Information
1. 临沂市人民医院耳鼻咽喉头颈外科，临沂 276003
- Publication Type:Journal Article
- Keywords:
Endoscopes;
Surgical procedures, operative;
Cosmetology;
Nasal interbrow mass;
V-shaped incision
- From:
Chinese Journal of Plastic Surgery
2025;41(4):397-400
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate and analyze the surgical method and therapeutic effect of removing benign masses between the nasal radix and eyebrow via a V-shaped cosmetic incision approach through the columella with the assistance of nasal endoscopy.Methods:The data of patients who underwent surgical treatment from May 2020 to August 2023 at the Department of Otorhinolaryngology, Head and Neck Surgery, Linyi People’s Hospital were retrospectively analyzed, because of a mass involving the radix of the nose and the interbrow area. Preoperative CT examination of the nose was performed to clarify the nature, size, and level of the mass, and a V-shaped incision was made in the middle and lower third of the nasal columella, with subcutaneous tunnels along the dorsal median line of the nose, and the mass was excised with the aid of nasal endoscopy. Postoperative follow-up was performed for recurrence of swelling, diplopia, ocular dyskinesia, frontal-facial numbness, and recovery of the operative area; patients were evaluated by visual analogue scoring (VAS) to assess satisfaction with the appearance of the incorporeal scar (0~10 points, higher scores indicate higher satisfaction).Results:A total of 4 patients were included, with an average age of 18.5 years (15-21 years). All 4 patients had complete resection of the tumor through the columellar V-shaped incision approach, and the surgical incisions were all healed by primary intention. Postoperative pathology suggested epidermoid cysts in 1 case, lipoma in 1 case, sebaceous cysts in 1 case, and osteomas in 1 case. Postoperative follow-up ranged from 6 to 24 months, with an average follow-up of 12 months, with no recurrence of the mass, no depression at the radix of the nose and between the eyebrows, and no noticeable scar at the columella. The patients were satisfied with the appearance of the incision scar with a VAS score of 10 points.Conclusion:Nasal endoscopic transnasal columella approach to excision of benign tumors at the root of the nose and between the eyebrows has the advantages of small skin incision and hidden scarring, and has good treatment effect.
