The management of midline transcranial nasal dermoid sinus cysts

Hanikeri, M.; Waterhouse, N.; Kirkpatrick, Niall; Peterson, David; Macleod, I. B.

doi:10.1016/j.bjps.2005.05.021

Cited by 74 publications

(74 citation statements)

References 25 publications

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“…Up to 50% of these lesions have gross cutaneous involvement and 20% may extend intracranially. 3 They characteristically lack transillumination and fail to enlarge with the Valsalva maneuver. Nasofrontal dermoid cysts are benign in nature but are susceptible to recurrent infections and may progress to osteomyelitis, meningitis, or intracranial abscess.…”

Section: 2mentioning

confidence: 99%

Midline Approach to Pediatric Nasofrontal Dermoid Cysts

Ortlip

Ambro

Pereira

2015

JAMA Otolaryngol Head Neck Surg

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Section: 2mentioning

confidence: 99%

Midline Approach to Pediatric Nasofrontal Dermoid Cysts

Ortlip

Ambro

Pereira

2015

JAMA Otolaryngol Head Neck Surg

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“…Nasal dermoids may have intracranial extension; a meta-analysis of multiple series suggests an incidence of 19.6% [8]. Imaging of all patients with midline nasal masses is essential for accurate diagnosis and to rule out intracranial extension.…”

mentioning

confidence: 99%

“…The treatment of nasal dermoids is surgical and total removal is essential otherwise recurrence is assured [8,10]. Recurrence rates of 50-100% have been reported if any dermal components are left behind [11].…”

mentioning

confidence: 99%

Excision of nasal dermoids with intracranial extension—Anterior small window craniotomy approach

Heywood

Lyons

Cochrane

et al. 2007

International Journal of Pediatric Otorhinolaryngology

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“…Most publications on NDSC are case reports, small series of patients or reviews (5,10,(12)(13)(14)20) . Larger published series either combined ectodermal and neuroectodermal masses or they summarized di erent malformations under the label of NDSC (8,9,11) .…”

Section: De Nition Of Ndscmentioning

confidence: 99%

“…The approach for NDSC is still controversial. Several techniques have been suggested, including transfacial, open rhinoplasty and coronal approaches (5,(8)(9)(10)(11)(12)(13)(14) .…”

Section: Introductionmentioning

confidence: 99%

Access to the crista galli and the foramen caecum in nasal dermal sinus cysts – lessons learned in a single tertiary care centre

Vital¹,

Krayenbuhl²,

Bozinov³

et al. 2013

Rhin

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Access to the crista galli and the foramen caecum in nasal dermal sinus cystslessons learned in a single tertiary care centre* Summary Objective: Several surgical techniques have been suggested for the treatment of nasal dermal sinus cysts (NDSC). We have used several di erent techniques and have developed a minimally invasive approach. The aim of this study is to describe the evolution to this approach and compare the results with those achieved with our experience of more traditional techniques. Methodology/Principal:A retrospective data collection of patients with NDSC presenting to our clinic between 1998 and 2012 was performed. We initially performed external approaches as outlined elsewhere. With an increasing number of young children requiring surgery, the technique was modi ed to a less invasive form. This new approach starts with mobilisation of the pit via a tiny skin incision. An open rhinoplasty approach is used to follow the stula on the nasal bone. Once the stula passes underneath the nasal bone, an endoscopic endonasal approach is used. Following the stula cranially, the area of the foramen caecum can be identi ed.Results: Twelve out of 15 patients (80%) were treated surgically. The transfacial, coronal subcranial and minimally invasive approach was used in 3 (25%), 4 (33%) and 5 patients (42%), respectively. Radical resection was achieved in all patients. Cosmetic problems were present in all patients undergoing a transfacial and in half of the patients after the coronal subcranial approach.Patients treated by the minimally invasive technique remained without sequelae. Conclusion:The minimally invasive approach enables a perfect exposure of the stula up to the crista galli and provides less morbidity and better cosmetic results than the transfacial and subcranial approach.

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The management of midline transcranial nasal dermoid sinus cysts

Cited by 74 publications

References 25 publications

Midline Approach to Pediatric Nasofrontal Dermoid Cysts

Midline Approach to Pediatric Nasofrontal Dermoid Cysts

Excision of nasal dermoids with intracranial extension—Anterior small window craniotomy approach

Access to the crista galli and the foramen caecum in nasal dermal sinus cysts – lessons learned in a single tertiary care centre

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