TỔNG QUAN VỀ ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ KẾT QUẢ ĐIỀU TRỊ NANG VÀ RÒ SỐNG MŨI

Abstract

Introduction: Nasal dermoid sinus cysts (NDSCs) are uncommon congenital lesions in children. Clinical manifestations are midline nasal cysts, fistula and intracranial attachments. Objective: To review the clinical presentation and subclinical presentation and study the surgical outcomes of this uncommon lesion. Method: A scoping review. Result: All 197 cases are tabulated and reviewe. Three cases were located on the columella; nineteen, tip; fifty-six, dorsum; seventeen, nasal root; seven, medial canthal; thirteen, nasion. The risk of intracranial extension is 26.2 per cent (51 cases). It is recommended that all patients who present with a NDSCs should be investigated by magnetic resonance (MRI) and/or computed tomography (CT). The approach to extension and corresponding literature review has been presented. Recurrences are likely if the NDSC is not completely excised. There were 15 recurrence (7,6 per cent) in this research article. Conclusion: NDSCs is an uncommon congenital anomaly. Preoperative evaluation must include imaging to assess extent and rule out intracranial extension. NDSC are easily misdiagnosed, leading to recurrence and surgical trauma affecting the face. Early appropriate surgical excision is recommended.Surgical strategy depends on whether presentation is as sinus or cyst and location and extent of lesion.