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Related Concept Videos

Cranial Bones: Lateral View01:27

Cranial Bones: Lateral View

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The lateral view of the cranium is dominated by temporal, sphenoid, and ethmoid bones.
The temporal bone forms the lower lateral side of the skull. The temporal bone is subdivided into several regions. The flattened upper portion is the squamous portion of the temporal bone. Below this area and projecting anteriorly is the zygomatic process of the temporal bone, which forms the posterior portion of the zygomatic arch. Posteriorly is the mastoid portion of the temporal bone. Projecting...
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Related Experiment Video

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Role of Diffusion MRI Tractography in Endoscopic Endonasal Skull Base Surgery
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Operative options for extracranial nasal dermoid cysts: A meta-analysis.

Joshua Kohan1, Shayan A McGee1, Quinn Self2

  • 1Larner College of Medicine, University of Vermont, Burlington, VT, United States.

Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
|November 20, 2023
PubMed
Summary

For nasal dermoid cyst surgery, external incision approaches show the lowest rates of recurrence and adverse events. Rhinoplasty and transnasal endoscopy have higher complication rates, with endoscopy having the highest incidence.

Keywords:
Congenital massCraniofacial massMeta-analysisMidline dermoidNasal dermoid

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Area of Science:

  • Otolaryngology
  • Plastic Surgery
  • Pediatric Surgery

Background:

  • Nasal dermoid cysts are congenital tumors requiring surgical excision.
  • Current surgical techniques include external incision, rhinoplasty, and transnasal endoscopy.
  • Comparative data on adverse event incidence among these approaches is lacking.

Approach:

  • Systematic review of 43 studies (1958-2020) involving 439 nasal dermoid cyst cases.
  • Single-arm meta-analyses were performed to determine summary risks of recurrence and combined adverse events.
  • Surgical approaches analyzed: external incision, rhinoplasty, and transnasal endoscopy.

Key Points:

  • External incision approach demonstrated the lowest recurrence (1.78%) and combined adverse event (4.94%) rates.
  • Rhinoplasty showed higher recurrence (4.81%) and adverse event (8.32%) rates.
  • Transnasal endoscopy had the highest recurrence rate (7.89%), with limited adverse event data.

Conclusions:

  • The external incision technique appears to be associated with the lowest incidence of adverse events for nasal dermoid cyst removal.
  • Rhinoplasty and transnasal endoscopy present higher risks of complications.
  • Further prospective studies are recommended to compare surgical outcomes and cosmetic results.