Nasal septal cyst: a case report

Yıl 2006, Cilt: 16 Sayı: 2, 87 - 90, 20.03.2006

Hakan Cıncık Atilla Güngör Hakan Mutlu Engin Çekin

Öz

Nasal septal cyst is a rare complication seen after submucous resection of the nasal septum. A 25-year-old male patient presented with a complaint of nasal obstruction four years after submucous resection.Physical examination revealed a grey mass obstructing both nasal cavities and the nasal airvvay. Magnetic resonance imaging showed a nasal septal cyst filling the nasal cavity. Following aspiration of the cyst con- tent, endoscopic examination was performed and per- foration of the lower part of the nasal septum was noted. Under local anesthesia, superior, posterior, and anterior parts of the cyst and the left wall of the septum were endoscopically released and prepared to be used as a flap. İt was sutured on the lower part of the septal perforation. No recurrence was seen during a follow-up of 18 months.

Anahtar Kelimeler

Nasal septum, cyst, submucous resection, nasal obstruction

Nazal septal kist: Olgu sunumu

Öz

Nazal septal kist, submuköz rezeksiyon ameliyatı sonrası nadir görülen bir komplikasyondur. Dört yıl önce submuköz rezeksiyon ameliyatı geçiren 25 yaşında erkek hasta, burunda tıkanıklık yakınma- sıyla başvurdu. Fizik muayenesinde her iki nazal kavite ve hava yolunu tıkayan gri renkli kitle görül- dü. Manyetik rezonans görüntülemede nazal kavi- teyi dolduran nazal septal kist saptandı. Öncelikle kist içeriği aspire edilerek endoskopik muayene yapıldı ve septumun alt kısmında perforasyon ol- duğu görüldü. Lokal anesteziyle, endoskopik ola- rak kistin ve septumun sol duvarı ön, arka ve üst- ten kesilerek serbestleştirildi ve flep olarak hazırla- narak septal perforasyonun alt kısmına dikildi. Hastanın 18 aylık izlemi sırasında kist rekürensi gözlenmedi

Anahtar Kelimeler

Nazal septum, kist, submuköz rezeksiyon, nazal obstrüksiyon

Kaynakça

• Blaugrund SM. Nasal obstruction. The nasal septum and concha bullosa. Otolaryngol Clin North Am 1989;22:291-306.
• Brain D. The nasal septum. In: Mackay IS, Bull TR, edi- tors. Scott-brown’s otolaryngology. Vol 4. 6th ed. Boston: Butterworth-Heinemann; 1997. p. 11, 1-27.
• Low WK, Willatt DJ. Submucous resection for deviat- ed nasal septum: a critical appraisal. Singapore Med J 1992;33:617-9.
• Chiang CH, Juan KH, Kuo WR, Tai CF, Wu JR. Nasal septal cyst--a case report. Kaohsiung J Med Sci 1996;12:256-9.
• Harley EH, Erdman JP. Dorsal nasal cyst formation. A rare complication of cosmetic rhinoplasty. Arch Otolaryngol Head Neck Surg 1990;116:105-6.
• Zijlker TD, Vuyk HD. Nasal dorsal cyst after rhino- plasty. Rhinology 1993;31:89-91.
• Kotzur A, Gubisch W. Mucous cyst--a postrhinoplasty complication: outcome and prevention. Plast Reconstr Surg 1997;100:520-4.
• Kaneshiro S, Nakajima T, Yoshikawa Y, Iwasaki H, Tokiwa N. The postoperative maxillary cyst: report of 71 cases. J Oral Surg 1981;39:191-8.
• McGregor MW, O’Connor GB, Saffier S. Complications of rhinoplasty. I. Skin and subcutaneous tissues. J Int Coll Surg 1958;30:179-85.
• Schwab JA, Pirsig W. Complications of septal surgery. Facial Plast Surg 1997;13:3-14.
• Dublin AB, Dedo HH, Bridger WH. Intranasal schwannoma: magnetic resonance and computed tomography appearance. Am J Otolaryngol 1995;16:251-4.