TY - JOUR
T1 - Adult nasal dermoid sinus cyst
AU - Post, Garrett
AU - McMains, Kevin C.
AU - Kountakis, Stilianos E.
PY - 2005/11/1
Y1 - 2005/11/1
N2 - Nasal dermoid sinus cysts (NDSCs) are uncommon occurrences that require intervention usually because of complications with cyst expansion such as chemical meningitis, infection, and sequelae of mass effect such as new-onset seizures. Although many cysts are removed in childhood, some are not detected until adulthood. They become symptomatic and further evaluations illuminate an NDSC that has progressed. Most present as extracranial lesions in childhood and are effectively removed via open rhinoplasty with no recurrence; however, occasionally, they extend intracranially. This case report presents a unique (unusual) extension of the NDSC into the frontal sinus requiring an osteoplastic flap to access the frontal sinus floor combined with a local midline nasal incision at the sinus tract origin. A discussion of various clinical presentations and surgical approaches and a case report of a 35-year-old man are presented. This case adds to the growing amount of literature on NDSCs and demonstrates an unusual presentation, which has thus far not been documented.
AB - Nasal dermoid sinus cysts (NDSCs) are uncommon occurrences that require intervention usually because of complications with cyst expansion such as chemical meningitis, infection, and sequelae of mass effect such as new-onset seizures. Although many cysts are removed in childhood, some are not detected until adulthood. They become symptomatic and further evaluations illuminate an NDSC that has progressed. Most present as extracranial lesions in childhood and are effectively removed via open rhinoplasty with no recurrence; however, occasionally, they extend intracranially. This case report presents a unique (unusual) extension of the NDSC into the frontal sinus requiring an osteoplastic flap to access the frontal sinus floor combined with a local midline nasal incision at the sinus tract origin. A discussion of various clinical presentations and surgical approaches and a case report of a 35-year-old man are presented. This case adds to the growing amount of literature on NDSCs and demonstrates an unusual presentation, which has thus far not been documented.
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U2 - 10.1016/j.amjoto.2005.02.018
DO - 10.1016/j.amjoto.2005.02.018
M3 - Article
C2 - 16275411
AN - SCOPUS:27644595177
SN - 0196-0709
VL - 26
SP - 403
EP - 405
JO - American Journal of Otolaryngology - Head and Neck Medicine and Surgery
JF - American Journal of Otolaryngology - Head and Neck Medicine and Surgery
IS - 6
ER -