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

  • F R Datema (a1), G M Bran (a2), V C M Koot (a3) and P J F M Lohuis (a2)

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.

Copyright

Corresponding author

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

Keywords

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

  • F R Datema (a1), G M Bran (a2), V C M Koot (a3) and P J F M Lohuis (a2)

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