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경비주 접근법으로 안면부 손상없이 제거한 비전두 유피낭종 1예

A Case of Nasofrontal Dermoid Cyst Via Transcollumelar Approach

대한두경부종양학회지 2020년 36권 1호 p.27 ~ 31
이강현 ( Lee Kang-Hyun ) - Hallym University College of Medicine Chuncheon Sacred Heart Hospital Department of Otorhinolaryngology-Head and Neck Surgery

이성민 ( Lee Sung-Min ) - Hallym University College of Medicine Chuncheon Sacred Heart Hospital Department of Otorhinolaryngology-Head and Neck Surgery
김상욱 ( Kim Sang-Wook ) - Hallym University College of Medicine Chuncheon Sacred Heart Hospital Department of Otorhinolaryngology-Head and Neck Surgery
박기준 ( Park Ki-Joon ) - Hallym University College of Medicine Chuncheon Sacred Heart Hospital Department of Otorhinolaryngology-Head and Neck Surgery
김동규 ( Kim Dong-Kyu ) - Hallym University College of Medicine Chuncheon Sacred Heart Hospital Department of Otorhinolaryngology-Head and Neck Surgery

Abstract


The midline nasal dermoid cysts are rare congenital neoplasms, which are diagnosed frequently in childhood. Masses are often noticeable at birth gaining size over time with recurrent infections and usually arise from the nasal cavity or lower 1/3 of the nasal dorsum. CT scan as the primary investigation is helpful to determine accurately the size and extent of the lesion as well as the integrity of adjacent bony structures. MRI scan is recommended to rule out an intracranial extension or sinus tracts. Treatment of choice is the complete surgical excision preserving the cyst wall. Here in, we present an unusual case of nasofrontal dermoid cyst in a 19-year-old boy without radiographic evidence of transcranial extension. In this case, we surgically removed nasofrontal dermoid cyst via transcolumellar approach. We also corrected saddle nose deformity after mass removal. Therefore, in this case, we experienced a successful case in which the nasofrontal dermoid cyst was totally removed without facial scar and deformity.

키워드

Dermoid cyst; Nasofrontal; Midline; Transcolumellar
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