Giacomini Pier Giorgio, Topazio Davide, Di Mauro Roberta, Mocella Stelio, Chimenti Matteo, Di Girolamo Stefano
Department of Otorhinolaryngology, University of Rome "Tor Vergata", Rome, Italy.
Department of Otorhinolaryngology, Bussolengo Hospital, Italy.
Case Rep Otolaryngol. 2014;2014:617424. doi: 10.1155/2014/617424. Epub 2014 Sep 9.
AMONG ALL THE POSSIBLE COMPLICATIONS OF AESTHETIC RHINOPLASTY, A RARE ONE IS THE DEVELOPMENT OF CYSTIC MASSES ON THE NASAL DORSUM: several theories suggest that cysts develop commonly by entrapment of nasal mucosa in the subcutaneous space, but they can also originate from foreign body reactions. This report deals with two cases of nasal dorsum cysts with different pathogenesis: both patients had undergone aesthetic rhinoplasty in the past (26 years ago and 14 years ago, resp.). Both cystic masses were removed via a direct open approach and nasal reconstruction was performed successfully with autologous vomer bone. The pathologic investigations showed a foreign body inclusion cyst associated with latex rubber in the first case and a sequestration of a mucosal-lined nasal bone was not removed at the time of primary rhinoplasty in the second case. A brief review of the literature focuses on the pathophysiology and treatment options for nasal dorsal cysts following aesthetic rhinoplasty.
在隆鼻手术所有可能的并发症中，鼻背出现囊性肿物是一种罕见的情况：有几种理论认为，囊肿通常是由于鼻黏膜被困在皮下间隙而形成的，但也可能源于异物反应。本报告涉及两例发病机制不同的鼻背囊肿病例：两名患者过去都接受过隆鼻手术（分别在26年前和14年前）。两个囊性肿物均通过直接开放手术切除，并成功地使用自体犁骨进行了鼻重建。病理检查显示，第一例为与乳胶橡胶相关的异物包裹性囊肿，第二例为初次隆鼻时未切除的衬有黏膜的鼻骨隔离。本文献综述简要聚焦于隆鼻术后鼻背囊肿的病理生理学及治疗选择。
