Ghestem M, Dhellemmes P, Pellerin P
Service de Chirurgie Plastique Reconstructrice, Centre des Brûlés, CHU de Lille.
Ann Chir Plast Esthet. 1991;36(3):183-91.
Nineteen patients with nasal dermal sinuses were operated over a period of twelve years. 12 patients presented with a fistula and 8 with a cyst. One of them presented with a double sinus ostia. In six patients, intracranial extension was confirmed through a surgical approach. Clinical examination and CT scans determined the choice of surgical approach. All sinuses were removed by two surgical procedures: direct incisions, either vertical midline or horizontal glabellar, and nasofrontal osteotomy via a coronal approach. The main theories of dermoid development are explained and embryogenesis is compared to the operative findings.
在12年的时间里，对19例鼻皮样囊肿患者进行了手术。12例患者表现为瘘管，8例表现为囊肿。其中1例有双鼻窦开口。6例患者通过手术入路证实有颅内扩展。临床检查和CT扫描决定了手术入路的选择。所有鼻窦均通过两种手术方法切除：直接切口，垂直中线或水平眉间切口，以及通过冠状入路进行鼻额骨切开术。文中解释了皮样囊肿发育的主要理论，并将胚胎发生与手术结果进行了比较。
