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

Published online by Cambridge University Press:  14 October 2013

F R Datema ,
G M Bran ,
V C M Koot  and
P J F M Lohuis
F R Datema*
Affiliation:
Department of Otorhinolaryngology/Head Neck Surgery, Erasmus Medical Centre, Rotterdam
G M Bran
Affiliation:
Department of Otorhinolaryngology/Head Neck Surgery, Diakonessen Hospital, Utrecht/Zeist
V C M Koot
Affiliation:
Department of Dermatology, Diakonessen Hospital, Utrecht/Zeist, The Netherlands
P J F M Lohuis
Affiliation:
Department of Otorhinolaryngology/Head Neck Surgery, Diakonessen Hospital, Utrecht/Zeist
*
Address for correspondence: Dr F R Datema, Erasmus Medical Centre, Afdeling KNO, Postbus 2040, 3000 CA Rotterdam, The Netherlands E-mail: f.datema@erasmusmc.nl
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Abstract

Background:

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.

Keywords

Epidermal CystChildNose DiseasesAestheticsCicatrix
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 127 , Issue 10 , October 2013 , pp. 1028 - 1030
Copyright
Copyright © JLO (1984) Limited 2013 

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