Management of an epidermoid cyst in the nasal tip of a child: aesthetic and surgical considerations

AbstractBackground:A simple subcutaneous lesion such as an epidermoid cyst can present a challenge when located in the nasal tip, as regards aesthetic surgical management. Even when performed parallel to relaxed skin tension lines, a direct transcutaneous incision (commonly used for epidermoid cyst removal) distorts the nasal tip subunit, resulting in a conspicuous, disfiguring scar. This should be avoided, especially in children.Case report:A 13-year-old girl was referred by her dermatologist for diagnosis and treatment of a slowly progressive dermoid cyst located on the tip of her nose. The cyst was removed using a subcutaneous open rhinoplasty approach, leaving the aesthetic nasal tip subunit intact.Conclusion:For aesthetic reasons, open rhinoplasty should be considered as a treatment option in patients with subcutaneous lesions in the nasal tip.

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P145 DERMOID CYST MASQUERADING AS INCARCERATED INGUINAL HERNIA

British Journal of Surgery ◽

10.1093/bjs/znab395.137 ◽

2021 ◽

Vol 108 (Supplement_8) ◽

Author(s):

Moh'd Shafiq Ramadan ◽

Huda Al-Zuhd ◽

Anas Atari

Keyword(s):

Differential Diagnosis ◽

Case Report ◽

Inguinal Hernia ◽

Dermoid Cyst ◽

Epidermoid Cyst ◽

Mass Content ◽

Incarcerated Inguinal Hernia ◽

Surgical Ward ◽

Elective Repair ◽

The Common

Abstract Aim “For pre operative optimization and educational purposes, rare possibilities should be included in the differential diagnosis”” Material and Methods “CASE REPORT. Inguinal hernia is one of the common operations done by surgeons, often diagnosed clinically. Here we present a case of 29 year old male patient presented with inguinal swelling for 3 years. He was admitted for the surgical ward as a case of incarcerated inguinal hernia for elective repair under GA. Intra op the mass was not consistent with inguinal hernia, two other possibilities were a concern that can cause the swelling; 1) testes, which was excluded by examining the scrotum, 2) Dermoid/Epidermoid cyst which was checked by the mass content of hair and pasty fluid” Results “DERMOID CYST” Conclusions “Most surgeons depend on clinical picture in diagnosing inguinal hernia, thus even other rare possibilities should be included in the differential diagnosis. Unusual presentations of inguinal hernia should be having radiological evaluated.”

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Intramedullary inclusion cysts of the cervicothoracic junction

Journal of Neurosurgery Spine ◽

10.3171/spi-07/08/236 ◽

2007 ◽

Vol 7 (2) ◽

pp. 236-242 ◽

Cited By ~ 22

Author(s):

Alfred T. Ogden ◽

Alexander G. Khandji ◽

Paul C. McCormick ◽

Michael G. Kaiser

Keyword(s):

Spinal Cord ◽

Case Report ◽

Surgical Treatment ◽

Dermoid Cyst ◽

Clinical Features ◽

Epidermoid Cyst ◽

Relevant Literature ◽

Literature Discussion ◽

Cervicothoracic Junction

✓Intramedullary inclusion cysts are extremely rare within the rostral spinal cord. In this case report the authors outline the clinical features and surgical treatment of one dermoid cyst and one epidermoid cyst of the cervicothoracic junction. The authors also include a relevant literature discussion regarding the treatment and the embryological origin of these lesions.

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Narrowing the Wide Tip via Endonasal Approach

Facial Plastic Surgery ◽

10.1055/s-0041-1735561 ◽

2021 ◽

Author(s):

Omotara Sulyman ◽

Steven Dayan

Keyword(s):

Healing Time ◽

Open Rhinoplasty ◽

Endonasal Approach ◽

Nasal Tip ◽

Nasal Anatomy ◽

Facial Plastic ◽

The Aesthetic ◽

Contractile Forces ◽

Tip Rhinoplasty ◽

Gain Access

AbstractRhinoplasty is arguably the most complex and intricate surgery performed by facial plastic surgeons. Nasal tip refinement of a broad nasal tip has remained the most challenging part of rhinoplasty as sophisticated techniques are critical to achieve aesthetically pleasing and structurally sound nasal tips that can withstand the contractile forces of healing. Successful tip refinement relies on an in-depth preoperative and intraoperative understanding of the patient's nasal anatomy, well developed arsenal of techniques, the experience of the surgeon, and the aesthetic desires of the patient. Although the approach to gain access to the nasal tip so as to successfully reshape the tip has been a topic of debate over many years, the aim of this article is to outline and demonstrate how the broad nasal tip can be successfully recontoured through an endonasal approach using nondestructive techniques that have been effectively used in open rhinoplasty. We believe that there continues to be a place for endonasal tip rhinoplasty especially in this era in which patients desire less invasive procedures with shorter healing time.

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