Document Detail

Surgical approaches for nasal dermal sinus cysts.
MedLine Citation:
PMID:  17432066     Owner:  NLM     Status:  MEDLINE    
Nasal midline masses of ectodermal origin include nasal dermoids (ND) and nasal dermal sinus cysts (NDSC). NDSC are characterized by an intracranial-extradural extension, while ND are limited to the nasal dorsum, medial canthus, or glabella without intracranial extension. We report our experience in 11 NDSC patients. The goal of this study is to present the management including surgical technique for NDSC and compare it with the literature. Because a transfacial approach for NDSC with vertical incision caused visible scarring in two out of three patients, we applied a new surgical approach in four patients. This approach consisted of a simple excision and mobilisation of the pit while the proximal part is resected using a coronal transfrontal approach. The relation of the nasal fistula to the nasal bone is essential considering osteotomy. Disruption of the bony cartilaginous junction of the nasal dorsum must be prevented to avoid later growth impairment of the nose. There was no recurrence of NDSC in all 7 operated patients after a mean follow-up of 3.9 years (range 0.5-7.2 years).
David Holzmann; Thierry A G M Huisman; Philipp Holzmann; Sandro J Stoeckli
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Rhinology     Volume:  45     ISSN:  0300-0729     ISO Abbreviation:  Rhinology     Publication Date:  2007 Mar 
Date Detail:
Created Date:  2007-04-13     Completed Date:  2007-07-09     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0347242     Medline TA:  Rhinology     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  31-5     Citation Subset:  IM    
Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Zurich, Zurich, Switzerland.
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MeSH Terms
Cartilage / surgery
Child, Preschool
Cicatrix / prevention & control
Cutaneous Fistula / surgery
Cysts / surgery*
Dermoid Cyst / surgery*
Follow-Up Studies
Frontal Bone / surgery
Magnetic Resonance Imaging
Nasal Bone / surgery
Nose Diseases / surgery*
Nose Neoplasms / surgery*
Paranasal Sinus Neoplasms / surgery
Respiratory Tract Fistula / surgery
Tomography, X-Ray Computed

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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