Lee Dong Hoon, Yoon Tae Mi, Lee Joon Kyoo, Lim Sang Chul
Department of Otolaryngology-Head and Neck Surgery, Chonnam National University Medical School & Chonnam National University Hwasun Hospital, Hwasun, South Korea.
Medicine (Baltimore). 2018 Nov;97(45):e13028. doi: 10.1097/MD.0000000000013028.
Nasal dermoid cysts are rare congenital lesions and may present as a midline nasal swelling. Nasal dermoid cysts usually present at birth and are commonly diagnosed by 3 years of age. An incidentally detected nasal dermoid cyst in an adult patient is extremely rare.
We report an unusual case of an adult patient with an incidentally diagnosed dermoid cyst of the nasal septum, which presented as a longstanding discharging pit in the nasal columella since childhood.
A preoperative diagnosis of dermoid cyst of the nasal septum was made.
We performed the external rhinoplasty incision, including a small elliptical incision for removal of the columella pit.
There has been no evidence of recurrence during the 2-year follow-up.
An incidentally detected nasal dermoid cyst in an adult patient is extremely rare. The most important point for the preoperative diagnosis of nasal dermoid cysts is to identify the presence or absence of intracranial extension. The treatment of choice for nasal dermoid cysts is complete surgical excision with clear margins.
鼻皮样囊肿是罕见的先天性病变，可表现为中线鼻肿胀。鼻皮样囊肿通常在出生时出现，通常在3岁前被诊断出来。在成年患者中偶然发现鼻皮样囊肿极为罕见。
我们报告了一例不寻常的成年患者，其鼻中隔皮样囊肿是偶然诊断出来的，自童年起该囊肿就表现为鼻小柱处一个长期流脓的小孔。
术前诊断为鼻中隔皮样囊肿。
我们采用了鼻外整形切口，包括一个小椭圆形切口以切除鼻小柱处的小孔。
在2年的随访期间没有复发迹象。
成年患者偶然发现鼻皮样囊肿极为罕见。鼻皮样囊肿术前诊断的最重要一点是确定是否存在颅内扩展。鼻皮样囊肿的首选治疗方法是进行切缘清晰的完整手术切除。
