JOURNAL ARTICLE

Endoscope-assisted nasal dermoid excision with an open rhinoplasty approach

Devon M Livingstone, James Brookes, Warren K Yunker
International Journal of Pediatric Otorhinolaryngology 2018, 109: 101-103
29728159
Congenital midline nasal masses have been traditionally excised through rhinotomies and bicoronal incisions. These approaches are disfiguring and potentially morbid, leading pediatric otolaryngologists to seek out less invasive, endoscopic-assisted approaches. Here we present a nasal dermoid excised with a minimally invasive, endoscopic assisted open rhinoplasty approach. The preoperative workup as well as perioperative steps for excision are documented, with the hope that this will assist other practitioners with this approach. An endoscopic open rhinoplasty technique affords excellent visualisation, with a superior cosmetic outcome. A preoperative MRI is essential to ensure the lesion is amenable to this approach.

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