Department of Plastic and Reconstructive Surgery.
Department of Neurosurgery, Keio University School of Medicine, Shinjuku-ku, Tokyo, Japan.
J Craniofac Surg. 2023 Sep 1;34(6):e589-e590. doi: 10.1097/SCS.0000000000009480. Epub 2023 Jun 19.
Nasal dermal sinus cysts are characterized by an intracranial-extradural extension. Complete extirpation of nasofrontal dermoid sinus cysts is essential for effective treatment to minimize recurrence. The authors revealed the pathologic findings of the cranial end connected to the dura. In our case, the cranial end and dura were fibrous connective tissues that were difficult to separate. For complete extirpation of the nasal dermal sinus cyst with intracranial extension, the cranial ends of the nasofrontal dermoid sinus cyst and dura should be resected en bloc.
鼻皮窦囊肿的特征是颅内-硬脑膜外延伸。为了有效治疗并最大程度减少复发,彻底切除鼻额窦皮样窦囊肿是必要的。作者揭示了与硬脑膜相连的颅端的病理发现。在我们的病例中,颅端和硬脑膜是纤维结缔组织,很难分离。为了彻底切除伴有颅内延伸的鼻皮窦囊肿,应整块切除鼻额窦皮样窦囊肿和硬脑膜的颅端。