Summary
Objective
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.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of Plastic, Reconstructive & Aesthetic SurgeryAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Congenital dermoid cyst of the nose.Plast Reconstr Surg. 1952; 9: 235-240
- Congenital nasal dermoid cysts and fistulas.Scand J Plast Reconstr Surg. 1985; 19: 105-107
- Nasal dermoids in children.Int J Paed Otorhinol. 1981; 3: 63-70
- Developmental nasal anomalies.J Laryngol Otol. 1990; 104: 394-403
- Ocular dermoids.Plast Reconstr Surg. 1988; 82: 959-964
- Congenital dermoid cyst of the anterior fontanelle in Chinese children.Childs Nerv Syst. 1986; 2: 175-178
- Congenital dermal sinuses, dermoid and epidermoid cysts of the posterior fossa.Childs Nerv Syst. 1986; 2: 83-89
- Dermoid cysts of the head and neck.Surg Gynecol Obstet. 1937; 65: 48-55
- Management of congenital midline nasal mass: a review.Head Neck Surg. 1980; 2: 222-223
- A dermoid cyst presenting as an epidermoid cyst in the malar region.Br J Plast Surg. 2001; 54: 180
- Concealed extensions of dermoid cysts of the nose: How can the surgeon be forewarned.Plast Reconstr Surg. 1964; 34: 373-381
- The role of open rhinoplasty in the management of nasal dermoid cysts.Plast Reconstr Surg. 1999; 104 ([quiz 1467;discussion 1468]): 1459-1466
- Nasal dermoid sinus cysts: association with intracranial extension and multiple malformations.Cleft Palate Craniofac J. 1991; 28: 87-95
- Operative codes. 4th ed. Office of Population Studies, London1987
- Midline cleft lip and nasal dermoids over five generations: a distinct entity or autosomal dominant Pai syndrome?.Clin Dysmorphol. 2006; 15: 155-159
- Congenital nasal dermoid cysts and fistulas.Plast Reconstr Surg. 1961; 27: 471-488
- Nasal dermal sinuses: new concepts and explanations.Laryngoscope. 1982; 92: 1-28
- Hereditary median dermoid cysts of the nose.Br J Plast Surg. 1976; 29: 334-340
- The presentation and management of nasal dermoid: A 30-year experience.Arch Otolaryngol Head Neck Surg. 2003; 129: 464-471
- Nasal dermoid sinus cysts in children.Laryngoscope. 1997; 107: 795-800
- Deep orbital dermoid with draining sinus.Am J Ophthalmol. 1975; 79: 310-313
- Developmental nasal midline masses in children: neuroradiological evaluation.Eur Radiol. 2004; 14: 243-249
Article info
Publication history
Published online: March 12, 2007
Accepted:
December 18,
2006
Received:
April 21,
2006
Footnotes
☆Case presented at the European Society of Plastic Reconstructive and Aesthetic Surgeons appointed meeting for 2006 in Coimbra, Portugal.
Identification
Copyright
© 2007 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.
