Sreetharan V, Kangesu L, Sommerlad B C
St Andrew's Centre for Burns and Plastic Surgery, Broomfield Hospital, Chelmsford, Essex CM1 7ET, UK.
J Plast Reconstr Aesthet Surg. 2007;60(9):1025-9. doi: 10.1016/j.bjps.2006.12.009. Epub 2007 Mar 7.
To review the presentation and management of nasal and other facial dermoid cysts and sinuses (excluding external angular dermoids). We report on 28 patients with less common facial dermoids. They presented as a cyst, sinus or both and may be separated into four groups. Group 1 (18 cases) were in the midline on the nose and many (12) had extensions to the septum but only two to the skull base. Group 2 (two cases) were paramedian nasal lesions and one extended through the nasal bones. Group 3 were lesions around the medial orbital wall, and two of these had tracts extending into the orbit. Group 4 were a miscellaneous group of lesions on the cheek and lips. We observed that preoperative imaging, although useful and done mainly for medico-legal reasons, may not detect deep extensions and therefore surgeons should be prepared for a more involved procedure when removing atypical facial dermoids.
回顾鼻及其他面部皮样囊肿和鼻窦（不包括外眦皮样囊肿）的临床表现及处理方法。我们报告了28例不太常见的面部皮样囊肿患者。这些患者表现为囊肿、窦道或两者皆有，可分为四组。第1组（18例）位于鼻中线，许多病例（12例）向鼻中隔延伸，但仅有2例向颅底延伸。第2组（2例）为鼻旁正中病变，其中1例穿过鼻骨。第3组为眶内侧壁周围病变，其中2例有延伸至眼眶的管道。第4组为面颊和唇部的各种病变。我们观察到，术前影像学检查虽然有用且主要是出于医疗法律原因进行的，但可能无法检测到深部延伸，因此外科医生在切除非典型面部皮样囊肿时应做好进行更复杂手术的准备。
