Ahmed Mohamed B, Al-Mohannadi Fatima S, Elzawawi Khaled E, Alsherawi Abeer, Althalathini Mahmoud
Plastic Surgery Department, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar.
College of Medicine, QU Health, Qatar University, Doha, Qatar.
J Surg Case Rep. 2023 Dec 14;2023(12):rjad667. doi: 10.1093/jscr/rjad667. eCollection 2023 Dec.
Congenital nasal masses are very rare presentations. Among these masses is a mucous cyst, which might be considered either a congenital or an acquired mass. Our report presents a case of recurrent dorsal nasal swelling that was initially managed with an open rhinoplasty. However, 1 year after the surgery, the swelling started to grow rapidly, and the patient presented with a disfigured nose. We scheduled the patient for the excision of the dorsal nasal swelling and reconstruction using the dorsal nasal flap approach. Several surgical techniques have been performed and published in the literature; however, this is the first time the dorsal nasal flap technique is being reported as a surgical approach to dorsal nasal mucous cysts. While mucous cyst formation might be congenital, the majority occur after rhinoplasty surgery. However, they can be prevented by minimizing unnecessary trauma during the surgery and ensuring the thorough removal of all epithelial tissue and foreign bodies.
先天性鼻腔肿物是非常罕见的表现。这些肿物中有黏液囊肿，它可能被认为是先天性或后天性肿物。我们的报告展示了一例复发性鼻背肿胀病例，最初通过开放式鼻整形术进行处理。然而，手术后1年，肿胀开始迅速增大，患者出现了鼻子畸形。我们为患者安排了鼻背肿胀切除及采用鼻背皮瓣法进行重建的手术。文献中已经报道了几种手术技术；然而，这是首次将鼻背皮瓣技术作为鼻背黏液囊肿的一种手术方法进行报道。虽然黏液囊肿的形成可能是先天性的，但大多数发生在鼻整形手术后。然而，可以通过在手术中尽量减少不必要的创伤并确保彻底清除所有上皮组织和异物来预防它们。
