Bracaglia R, Fortunato R, Gentileschi S
Department of Plastic and Reconstructive Surgery, Università Cattolica del Sacro Cuore, Policlinico A.Gemelli, Largo A.Gemelli, 1 Rome, Italy.
Br J Plast Surg. 2005 Mar;58(2):271-4. doi: 10.1016/j.bjps.2004.10.007.
Mucous cysts formation following a rhinoplasty is a rare complication. Only 16 cases have been reported. The cysts seem to arise from mucosal remnants left in the subcutaneous layer and must be distinguished from other complications causing postoperative swelling of the nose, such as foreign body, paraffinoma and bony or cartilagineous fragments. We describe two cases of dorsal mucous cysts following rhinoplasty, provide a review of the concerning literature and discuss the removal of the lesions by nasal endoscopy. Nasal endoscopy allows excellent exposure of the operative field, without the need of open rhinoplasty technique, allowing fast healing, minor swelling and no external scar.
隆鼻术后形成黏液囊肿是一种罕见的并发症。仅报道过16例。囊肿似乎源于皮下层遗留的黏膜残余物,必须与导致术后鼻部肿胀的其他并发症相鉴别,如异物、石蜡瘤以及骨或软骨碎片。我们描述了两例隆鼻术后背侧黏液囊肿的病例,回顾了相关文献,并讨论了通过鼻内镜切除病变。鼻内镜可提供极佳的术野暴露,无需开放式隆鼻技术,能实现快速愈合、轻微肿胀且无外部瘢痕。