Midline approach to nasal dermoid sinus cysts - Case reports and literature review

Authors

  • Jorge Mexia Centro Hospitalar Universitário de Lisboa Central (CHULC)
  • João Seixas Centro Hospitalar Universitário de Lisboa Central (CHULC)
  • Inês Alpoim Moreira Centro Hospitalar Universitário de Lisboa Central (CHULC)
  • Susana Correia Centro Hospitalar Universitário de Lisboa Central (CHULC)
  • Herédio Sousa Centro Hospitalar Universitário de Lisboa Central (CHULC)
  • Ezequiel Barros Centro Hospitalar Universitário de Lisboa Central (CHULC)
  • Amets Irañeta
  • Mário Matos

DOI:

https://doi.org/10.34631/sporl.843

Keywords:

nasal dermoid sinus cyst, open rhinoplasty, midline, endoscopic approach

Abstract

Introduction: Nasal dermoid sinus cysts (NDSC) are rare midline congenital lesions. They are sometimes associated with intracranial extension. Many surgical approaches have been reported, from vertical midline nasal dorsum incisions to combined coronal incision with frontal craniectomy.

Case Reports: We report on two pediatric cases, one with intracranial extension, completely excised through an open rhinoplasty approach complemented with transnasal endoscopic surgery. 

Conclusion: The early complete removal of these lesions is essential in order to avoid the high recurrence rates. The open rhinoplasty approach complemented by transnasal endoscopic surgery is a valid solution in cases with limited intracranial extension. 

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Published

2020-10-01

How to Cite

Mexia, J., Seixas, J., Alpoim Moreira, I., Correia, S., Sousa, H., Barros, E., Irañeta, A., & Matos, M. (2020). Midline approach to nasal dermoid sinus cysts - Case reports and literature review. Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery, 58(3), 151–156. https://doi.org/10.34631/sporl.843

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Original Article