Background: A 28-year-old lady presented with cheek hematoma on the right side after the self-fall. This patient had severe facial disfigurement due to diffuse swelling of cheek, discoloration of facial skin and sclera. The facial expressions were also compromised. Materials and methods:Detailed history taken, examination done to rule out motor vehicle accident (MVA), domestic violence and central nervous system (CNS) involvement. Computed tomography scan was done to know the extent of hematoma and to rule out the oromaxillofacial bone fractures. Incision and drainage was done to remove the blood clot from the buccal space. Incision was given in the buccal mucosa to avoid external scar.Result: Swelling was completely reduced on 3rd postoperative day. Facial movements and expressions were regained. Conclusion:Intraoral Incision and drainage is the treatment of choice for cheek hematoma to reduce the size of the swelling and avoid external scar. Source of support: Nil Conflict of interest: None RESUMENAntecedentes: Una señora de 28 años de edad se presentó con la mejilla. Hematoma en el lado derecho después de la auto-otoño. Este paciente tenía. desfiguración facial severa debido a difundir hinchazón de la mejilla, decoloración de la piel facial y la esclerótica. Las expresiones faciales también fueron comprometida.

Background: A 25-year-old male patient came with a history of nasal obstruction on the left side. He was also concerned about his nasal framework deformities, such as gross deviation of the nose to left, hump over the nose, asymmetrical nostril, and overall bulky nose. Materials and methods:Detailed history was taken and examination done to rule out contraindication to septorhinoplasty. Expectations, requirements, and postoperative results of the patient were understood. Open approach reduction rhinoplasty was carried out. Unique techniques, such as intermediate and transverse osteotomies were done to achieve the required results.Results: Bulky deviated nose was reduced to an esthetically good-looking nose by humpectomy, four types of osteotomies, extended spreader grafts, columellar strut, and Tipplasty.Conclusion: Surgical steps must be undertaken in order to achieve good esthetic results. Surgeries, such as humpectomy must be done before osteotomies, intermediate osteotomies must be done before lateral osteotomies, and Tipplasty must be done after osteotomies.

Various congenital nasal deformities can occur because of the complexities of the developmental process. These conditions range from partial deformities of the nose (such as isolated absence of the nasal bones, absence of columella, absence of the septal cartilage, and absence of vomeral bone) to complete absence of the nose. Congenital heminasal hypoplasia is an extremely rare defect of embryogenesis. We present a case of 25-year-old lady with congenital heminasal hypoplasia associated with intranasal cyst. Computed tomography (CT) scan revealed gross septal deviation to left, rudiment left lateral wall of the nose, rudiment left external nasal framework, and intranasal cyst. Functional septorhinoplasty was done with subnasal rotation flap technique to gain airway on both sides of the nose. How to cite this article Devasamudra CR, Sagar NJ, Jayaraju RM. Congenital Heminasal Hypoplasia with an Intranasal Cyst and Its Management by Subnasal Rotation Flap. Int J Otorhinolaryngol Clin 2016;8(2):56-59.

Midline congenital nasal lesions are rarely encountered in adults. Nasal dermoid sinus cysts (NDSC) account for 1 to 3% of dermoid cysts overall and 11 to 12% of head and neck dermoids. Most lesions are diagnosed within the first 3 years of life but in some cases the diagnosis can be delayed. Nasal dermoid sinus cysts are unsightly, prone to infection. Treatment is complete surgical excision. We are presenting a case of 21-year-old man with a NDSC who presented with soft tissue hump over the bony nasal dorsum, recurrent infection and discharge from the two sinus openings over the bony nasal dorsum. We review the embryology of nasal dermoid sinus cysts, discuss their presentation, evaluation and management in adults. Radiological investigations like computed tomography (CT) scan, magnetic resonance imaging (MRI) are essential to know the extension of the sinus tract and CNS involvement. Complete surgical excision and reconstruction of the defect over the bony nasal dorsum by modified bipedicle advancement flap technique will help to give esthetically good looking nose. Abbreviations CNS: Central nervous system, CT: Computed tomography, MRI: Magnetic resonant imaging, NDSC: Nasal dermoid sinus cyst, PNS: Para nasal sinus. How to cite this article Devasamudra CR, Sagar NJ. Management of Nasal Dermoid Sinus Cyst by Modified Bipedicle Advancement Flap Technique. Clin Rhinol An Int J 2015;8(3):115-120.

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