Transcranial nasoethmoidal dermoids: a review and rationale for approach

J Plast Reconstr Aesthet Surg. 2013 Dec;66(12):1725-31. doi: 10.1016/j.bjps.2013.06.039. Epub 2013 Jul 29.

Abstract

Nasal dermoid cysts are a common congenital midline nasal lesion. Surgical removal may require cranial exposure, a nasal approach, or a combination of the two, and is dictated by the location and extent of disease. Here, we review common presentations of nasal dermoids and illustrate extirpation by each of these three potential approaches. In this series, a 4 year-old female, a 6 year-old female, and a 3 year-old male underwent a transcranial, open rhinoplasty, and combined transcranial and open nasal approach, respectively, without complications. This series reviews the presentation and surgical treatment of nasal dermoids with transcranial extension and illustrates 3 commonly employed approaches for the removal of nasal dermoids.

Keywords: Bifrontal craniotomy; Intracranial extension; Midline nasal lesion; Nasal dermoid cyst; Open rhinoplasty; Transcranial extension.

Publication types

  • Case Reports
  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Child
  • Child, Preschool
  • Craniotomy / methods*
  • Dermoid Cyst / surgery*
  • Female
  • Humans
  • Male
  • Rhinoplasty / methods*
  • Suture Techniques