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The 'Pinocchio' nasal deformity due to cavernous lymphangioma
J L Hobby1, E Tiernan, B J Mayou
1Department of Plastic Surgery, St Thomas' Hospital, London, England, UK.
Journal of the Royal Society of Medicine
|September 1, 1995
Summary
The rare Pinocchio nose deformity, caused by soft tissue tumors like lymphangiomas, presents unique challenges. This study details a previously undescribed lymphangioma case and discusses management options for this condition.
Area of Science:
- Plastic Surgery
- Pediatric Surgery
- Dermatology
Background:
- The 'Pinocchio' or 'Cyrano' nose is a rare condition characterized by nasal tip deformity due to underlying soft tissue tumors.
- Previous cases have been attributed to capillary or cavernous hemangiomas (angiolipomas).
- The resulting deformity can cause significant psychosocial distress in children.
Observation:
- This report details a previously undescribed case of 'Pinocchio' nose caused by a lymphangioma of the nasal tip.
- Lymphangiomas are benign vascular tumors, and their occurrence as a cause of nasal tip deformity is rare.
Findings:
- The study identifies lymphangioma as a novel cause of the 'Pinocchio' nose deformity.
- It highlights the variability in the etiology of this condition, extending beyond hemangiomas.
Implications:
- This finding expands the differential diagnosis for nasal tip masses in pediatric patients.
- It necessitates a review of management strategies, considering the specific nature of lymphangiomas versus hemangiomas.
- Further research is needed to establish optimal treatment protocols for lymphangioma-induced 'Pinocchio' nose, balancing spontaneous regression potential with surgical intervention.