Nasal Dermoid Sinüs Kisti Olgusuna Cerrahi Yaklaşım

Year 2014, Volume: 15 Issue: 2, 79 - 81, 01.08.2014

Heval Selman Özkan Saime İrkören Hüray Karaca

Abstract

Dermoid kistler, gelişimsel patolojiler olup, ekdoderm kaynaklı skuamozepitelle döşelidirler. İçlerinde farklı deri ekleri (sebasebezler, kilfolikülleri ve ter bezleri bazen yağ, kemik, tırnak, diş, göz, kıkırdak ve tiroid dokusu içerir) barındırırlar. Buna bağlı olarak kist lumeni keratin, sebasemateryal ve bazen de kılla doludur. Matür doku içermesi nedeniyle dermoid kistler çoğu zaman selimdir.Dermoid kistin nadiren görülen malign formu erişkinlerde sıklıkla skuam özhücrelikarsinom, bebek ve çocuklarda da endodermal sinus tümörü olarak gelişir. Dermoid kistler gerçek hamartomlardır ve malignite ihtimali nedeniyle dermoid kistlerin bütünüyle cerrahi olarak eksizyonu önerilir. Biz bu çalışmada, nazal bölgede dermoid kisti (NDSK) mevcut olan hastayı ve hastaya uygulanan cerrahi yöntemi sunmaktayız

Keywords

Dermoid kist, cerrahi yaklaşım, burun rekonstrüksiyonu

Nasal Dermoid Cyst and Surgical Approach

Abstract

Dermoid cysts are congenital pathologies that have squamous epithelial lining of ectodermal origin. They include different epidermal appendages (sebaceous glands, hair follicles, sweat glands,sometimes, fat, bone, nails, teeth, eyes, cartilage, and thyroid tissue). Cyst lumen is filled with keratin, sebaceous material and sometimes hair.Because it contains mature tissue, a dermoid cyst is almost always benign. The rare malignant dermoid cyst usually develops squamous cell carcinoma in adults; in babies and children it usually develops endodermal sinus tumor. Dermoid cysts are true hamartomas. Complete surgical excision of dermoid cysts is recommended because of the possibility of malignant degeneration. In this study we present a nasal dermoid cyst and surgical approach, reconstruction.

Keywords

Dermoid cyst, surgical approach, nasal reconstruction

References

• 1. Pratt LW. Midlinecysts of thenasaldorsum: Embryologicorigin and treatment. Laryngoscope 1965;75:968-80. [CrossRef]
• 2. Paller AS, Pensler JM, Tomita T. Nasalmidlinemasses in infants and children. Laryngoscope 1991;107:795-800.
• 3. Cauchois R, Laccourreye O, Bremond D, Testud R, Küffer R, Monteil JP. Nasal dermoid sinus cyst. Ann Otol Rhinol Laryngol 1994;103:615. [CrossRef]
• 4. Bradley PJ. The complex nasal dermoid. Head Neck Surg 1983;5:469. [CrossRef]
• 5. Hacker DC, Freeman JL. Intracranialextension of a nasaldermoidcyst in a 56-year-old man. Head Neck 1994;16:366-71. [CrossRef]
• 6. Pratt LW. Midline cysts of the nasal dorsum: Embryologic origin and treatment. Laryngoscope 1965;75:968. [CrossRef]
• 7. Littlewood AHM. Congenitaldermoid cysts and fistulae. Br Plast Surg 1961;14:169. [CrossRef]
• 8. Vibe P, Lontoff E. Congenital nasal dermoid cyst and fistulas. Scand J Plast Reconslr Surg 1985;19:105. [CrossRef]
• 9. Bland-Sutton, J.,Tumors-Innocent and Malignant. Philadelphia: Lea Brothers, 1893. Pp. 287-98.
• 10. Bilkay U, Gundogan H, Ozek C, Tokat C, Gurler T, Songur E, et al. Nasaldermoid sinüs cysts and the role of openrhinoplasty. Ann Plast Surg 2001;47:8-14. [CrossRef]
• 11. Zerris VA, Annino D, Heilman CB. Nasofrontaldermoid sinüs cyst: report of twocases. Neurosurgery 2002;51:811- 4. [CrossRef]
• 12. Harley EH. Pediatric congenital nasal masses. Ear Nose Throat J 1991;70:28.
• 13. Rohrich RJ, Lowe JB, Schwartz MR, The role of open rhinoplasty in the management of nasal dermoid cysts. Plast Reconstr Surg 1999;104:2163- 70. [CrossRef]
• 14. Pollack RA. Surgical approaches to the nasal dermoid cyst. Ann Plast Surg 1983;10:498. [CrossRef]
• 15. Lusk RP, Lee PC. Magnetic resonance imaging of congenital midline nasal masses. Otolaryngol Head Neck Surg 1986;95:303.
• 16. Pensler JM, Bauer BS, Naidich TP. Craniofacial dermoids. Plast Reconslr Surg 1988;82:953. [CrossRef]
• 17. Huisman TAGM, Schneider JFL, Kellenberger CJ, Martin-Fiori E, Willi UV, Holzmann D. Developmental nasal midline masses in children: neuroradiological evaluation. Eur Radiology 2004;14:243-9. [CrossRef]