Novel surgical approach to nasal dorsum midline dermoid sinus cyst.

The correct reconstructive technique following dermoid cyst removal is critical for treatment and aesthetics. This article will discuss the management of nasal dermoid sinus cysts. A mixture of "Turkish-delight" crushed cartilage with Fibrin-based tissue adhesives and non-crushed septal cartilage was used for the primary reconstruction of the nasal dorsum. Nasal dermoid cysts: Nasal dermoid sinus cysts are rare midline abnormalities that can occur on the nasal dorsum, typically between the glabella and the columella. Surgical intervention is usually necessary to prevent complications and ensure complete removal of the cyst. Surgical approaches: Various surgical approaches can be used for the treatment of nasal dermoid cysts, including excision with primary closure, midline vertical incision, transverse incision, lateral rhinotomy, inverted-U incision, and external rhinoplasty. The choice of approach depends on factors such as the size, location, and extent of the cyst, as well as the patient's condition and the surgeon's preference. Importance of complete excision: Complete excision of nasal dermoid cysts is crucial to prevent complications such as recurrence, nasal deformity, infection, meningitis, and intracranial abscesses. Proper surgical management aims to remove the cyst and associated sinus tracts while restoring normal nasal anatomy and function. Surgical technique: In a case study involving a 73-year-old male patient with a nasal dermoid cyst, an inverted T-shaped incision was made on the nasal dorsum. The entire cystic mass was carefully removed along the midline, and any eroded nasal dorsum bones were drilled to create a single common cavity. The defect on the nasal dorsum was repaired using a combination of crushed septal cartilage mixed with Fibrin-based tissue adhesives and small cartilaginous palisade grafts for aesthetic reconstruction. Successful outcome: The patient underwent successful surgery with no recurrence observed during the one-year follow-up. The wound site healed completely, and the patient maintained a pleasing profile. This case highlights the effectiveness of the surgical technique in managing nasal dermoid cysts while minimizing defects and achieving aesthetic and functional outcomes. [ABSTRACT FROM AUTHOR]