Congenital Cyst and Fistula of the Dorsum of the Nose: A Case Report and Literature Review
Article Main Content
Congenital cyst and fistula of the dorsum of the nose is a rare congenital entity. We report a new case of dorsum nasal fistula in a 5 years old male patient that communicates the frontal region with the subcutaneous surface. Radiologic imaging showed a median 5mm defect, in the projection of the metopic suture that leads to a communication between the frontal region and the skin figure. Complete resection was performed by an external approach with vertical incision of the cyst. The histological diagnosis was consistent with a dermoid fistulized cyst. The follow-up displayed unremarkable finding, the patient did not present any diplopia nor decreased visual acuity, or any signs of meningitis or cerebrospinal fluid rhinorrhoea, or saddle nose.
References
-
S. A. Paller, J.M. Pensler, T. Tomita, “Nasal Midline Masses in Infants and Children Dermoids, Encephaloceles, and Gliomas,” Arch Dermatol, 1991;127:362-366.
Google Scholar
1
-
L.W. Pratt, “Midline cyst of the nasal dorsum: embryologic origin and treatment,” Laryngoscope, 1985;75:968-75.
Google Scholar
2
-
F. Denoyelle, V. Ducroz, G. Roger, E.N. Garabedian, “Nasal Dermoid Sinus Cysts in Children,” The American Laryngological, Rhinological and Otological society, Inc; Laryngoscope, 107:795-800,1997.
Google Scholar
3
-
M.A. Khan, A.G. Gibb, “Median dermoid cyst of the nose: familial occurrence,” J Laryngol Oto, 1970;84:709-15. 10.
Google Scholar
4
-
R. Rahbar, P. Shah, J.B. Mulliken, et al, “The presentation and management of nasal dermoid: a 30-year experience,” Arch Otolaryngol Head Neck Surg 2003 Apr, 129(4):464-71.
Google Scholar
5
-
O. Kleina, E. Simonb, L. Coffinet, A. Jouda, C. Ghetemmea, J.C. Marchal, “Nasal dermal sinus in children: A review based on a series of 6 cases,” Neurochirurgie, Vol. 60, Issue 12, February–April 2014, pp. 27-32.
Google Scholar
6
-
T. Wardinsky, R. Pagon, R. Kropp, P. Hayden, S. Clmn, “Nasal dermoid sinus cyst association with intracranial extension and multiple malformations,” Cleft Palate Craniofac J, 1991;28:87-95SA.
Google Scholar
7
-
J.P. Uglietta, O.B. Boyko, D.J. Rippe, “Intracerebral extension of nasal dermoid cyst: CT appearance,” J Comput Assist Tomogr, 1989; 13: 1061-4.
Google Scholar
8
-
G. Cotin, F. Leperchey, E.N. Garabedian, “Fistules congenitales medianes du dos du nez: etude embryologique, clinique et therapeutique,” Ann Pediatrie, 1984;3 1:945-9. 14.
Google Scholar
9
-
J. Barkovich, P. Vandermarck, M. Edwards, P.H. Cogen., “Congenital nasal masses: CT and MR imaging features in 16 cases,” AJNR Am J Neuroradiol, 1991;12:105-16.
Google Scholar
10
-
P.J. Bradley, S.D. Singh, “Congenital nasal masses: diagnosis and management,” Clin Otolaryngol, 1982;7:87-97. 26.
Google Scholar
11
-
W.E. Blake, C.W. Chow, A.D. Holmes, J.G. Meara, “Nasal dermoid sinus cysts: a retrospective review and discussion of investigation and management,” Ann Plast Surg, 2006;57:535–40.
Google Scholar
12
-
L. Grünwald, “Beiträge sur Kenntnis kongenitaler Geschwülste und Missbildungen an Ohr und Nase,” Zstchr F Ohrenh, 1910;60:270–80.
Google Scholar
13
-
J.B. Charrier, I. Rouillon, G. Roger, F. Denoyelle, P. Josset, E.N. Garabedian, “Craniofacial dermoids: an embryological theory unifying nasal dermoid sinus cysts,” Cleft Palate Craniofac J, 2005;42(1):51–7.
Google Scholar
14
-
J. Pensler, B. Bauer, T. Naidich, “Craniofacial dermoids,” Plast Reconstr Surg, 1988;82:953-8.
Google Scholar
15
-
J.C. Posnick, P. Bortoluzzi, D.C. Armstrong, J.M. Drake, “Intracranial nasal dermoid sinus cysts: computed tomographic scan findings and surgical results,” Plast Reconstr Surg, 1994;32:745–54.
Google Scholar
16
-
F. Lindbichler, H. Braun, J. Raith, G. Ranner, C. Kugler, M. Uggowitzer, “Nasal dermoid cyst with a sinus tract extending to the frontal dura mater: MRI.,” Neuroradiology, 1997;39(7):529–31.
Google Scholar
17
-
H.M. Brownstein, S. Lewis, S. Raymond, “Fistula of the Dorsum of the Nose,” Arch Dermatol, Vol 109. Feb 1974.
Google Scholar
18
-
R. Yavuzer, U. Bier, I.T. Jackson, “Be careful: it might be a nasal dermoid cyst,” Plast Reconstr Surg, 1999 Jun;103(7):2082-3.
Google Scholar
19
-
P. Vibe, E. Lontoft, “Congenital Nasal Dermoid Cysts and Fistulas: Case Reports,” Scandinavian Journal of Plastic and Reconstructive Surgery, volume 19,1985 issue 1.
Google Scholar
20
-
R.J. Rohrich, J.B. Lowe, M.R. Schwartz, “The role of open rhinoplasty in the management of nasal dermoid cysts,” Plast Reconstr Surg, 1999 Oct;104(5):1459-66; quiz 1467; discussion 1468.
Google Scholar
21
-
J.H. Kelly, M. Strome, B. Hall, “Surgical update on nasal dermoids,” Arch Otolaryngol, 1982 Apr;108(4):239-42.
Google Scholar
22
Most read articles by the same author(s)
-
O. Oulghoul,
F. Hadid,
O. Benhoummad,
Y. Rochdi,
A. Raji,
Surgical Management of Cervico-facial Cystic Lymphangioma in Children , European Journal of Medical and Health Sciences: Vol. 3 No. 3 (2021) -
F. E. Rizkou,
D. Berrada El Azizi,
S. Salhi,
O. Benhoummad,
Y. Rochdi,
A. Raji,
Primary Extra-Nodal Non-Hodgkin Lymphoma of the Cheek: A Rare Case Report and Literature Review , European Journal of Medical and Health Sciences: Vol. 4 No. 1 (2022) -
Y. Labani,
O. Oulghoul,
O. Benhoummad,
Y. Rochdi,
A. Raji,
Langerhans Cell Histiocytosis of the Temporal Bone in Children: Two Cases Report , European Journal of Medical and Health Sciences: Vol. 3 No. 3 (2021) -
Y. Lakhdar,
M. Hakimi,
O. Benhoumad,
Y. Rochdi,
A. Raji,
Maxillary Sinus Mucopyocele: About an Endoscopic Management , European Journal of Medical and Health Sciences: Vol. 3 No. 3 (2021) -
Y. Lakhdar,
D. Berrada Elazizi,
M. Elbouderkaoui,
Y. Rochdi,
A. Raji,
The Spontaneous Retropharyngeal Space Hematoma: How to Manage? , European Journal of Medical and Health Sciences: Vol. 3 No. 2 (2021) -
O. Oulghoul,
F. Hadid,
O. Benhoummad,
Y. Rochdi,
A. Raji,
Delayed Recurrent Post Cochlear Implantation Hydroma: A Four Patients Series , European Journal of Medical and Health Sciences: Vol. 3 No. 3 (2021) -
F. Hadid,
M. Hakimi,
O. Oulghoul,
O. Benhommad,
Y. Rochdi,
A. Raji,
Cystic Adenoid Carcinomas in Ear, Nose and Throat: Unusual Localizations and a Literature Review , European Journal of Medical and Health Sciences: Vol. 3 No. 2 (2021) -
F. Hadid,
M. Hakimi,
O. Benhommad,
Y. Rochdi,
A. Raji,
Neonatal Choanal Atresia: A Series of 13 Cases , European Journal of Medical and Health Sciences: Vol. 3 No. 3 (2021) -
O. Benhoummad,
Y. Labani,
F. E. Rizkou,
Y. Rochdi,
A. Raji,
Frontal Sinus Schwannoma: Case Report and Literature Review , European Journal of Medical and Health Sciences: Vol. 3 No. 3 (2021) -
F. Hadid,
O. Oulghoul,
H. Benjelloun,
O. Benhommad,
A. Raji,
Y. Rochdi,
Nasopharngeal Tuberculosis Simulating Cancer: About 2 Cases , European Journal of Medical and Health Sciences: Vol. 3 No. 3 (2021)





