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Diagnosis and treatment of congenital nasal dermoid and sinus cysts in 11 infants: A consort compliant study

There have been few studies on congenital nasal dermoid and sinus cysts (NDSCs) in infants. This study was performed to obtain clinical data for the diagnosis and treatment of NDSCs in infants. We performed a retrospective analysis of 11 infants admitted with NDSCs between 2014 and 2019. Patient dem...

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Autores principales: Ni, Kun, Li, Xiaoyan, Zhao, Limin, Wu, Jiali, Liu, Xiaojun, Shi, Haibo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7249947/
https://www.ncbi.nlm.nih.gov/pubmed/32481248
http://dx.doi.org/10.1097/MD.0000000000019435
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author Ni, Kun
Li, Xiaoyan
Zhao, Limin
Wu, Jiali
Liu, Xiaojun
Shi, Haibo
author_facet Ni, Kun
Li, Xiaoyan
Zhao, Limin
Wu, Jiali
Liu, Xiaojun
Shi, Haibo
author_sort Ni, Kun
collection PubMed
description There have been few studies on congenital nasal dermoid and sinus cysts (NDSCs) in infants. This study was performed to obtain clinical data for the diagnosis and treatment of NDSCs in infants. We performed a retrospective analysis of 11 infants admitted with NDSCs between 2014 and 2019. Patient demographics, lesion site, preoperative radiological findings, surgical technique, intraoperative findings, and postoperative sequelae were analyzed. In total, 11 infants (average age, 19 months; lowest age, 10 months) were included in this study. All patients presented with a nasal root mass, 2 patients also had nasal tip fistula, and only 1 case had a history of preoperative infection. Preoperative enhanced computed tomography (CT) examination showed nasal surface lesion (type I) in 3, nasal intraosseous (type II) in 5, intracranial epidural (type III) in 2, and intracranial dural (type IV) in 1 patient. The main surgical methods included direct resection with a vertical midline incision (9 patients), vertical incision + transnasal endoscopic resection + skull base repair (1 patient), and transverse incision of the lower margin of the left eyebrow (1 patient). All wounds healed well without serious complications. Using the 4-type classification method in combination with the preoperative CT findings to analyze the extent of NDSC in infants is helpful for formulating the surgical plan. Using vertical incision approach alone or combined with nasal endoscopy for minimally invasive surgery can meet the needs of complete resection and reconstruction. Our results provide clinical data that can help establish standardized criteria for the diagnosis and treatment of NDSCs in infants.
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spelling pubmed-72499472020-06-15 Diagnosis and treatment of congenital nasal dermoid and sinus cysts in 11 infants: A consort compliant study Ni, Kun Li, Xiaoyan Zhao, Limin Wu, Jiali Liu, Xiaojun Shi, Haibo Medicine (Baltimore) 6000 There have been few studies on congenital nasal dermoid and sinus cysts (NDSCs) in infants. This study was performed to obtain clinical data for the diagnosis and treatment of NDSCs in infants. We performed a retrospective analysis of 11 infants admitted with NDSCs between 2014 and 2019. Patient demographics, lesion site, preoperative radiological findings, surgical technique, intraoperative findings, and postoperative sequelae were analyzed. In total, 11 infants (average age, 19 months; lowest age, 10 months) were included in this study. All patients presented with a nasal root mass, 2 patients also had nasal tip fistula, and only 1 case had a history of preoperative infection. Preoperative enhanced computed tomography (CT) examination showed nasal surface lesion (type I) in 3, nasal intraosseous (type II) in 5, intracranial epidural (type III) in 2, and intracranial dural (type IV) in 1 patient. The main surgical methods included direct resection with a vertical midline incision (9 patients), vertical incision + transnasal endoscopic resection + skull base repair (1 patient), and transverse incision of the lower margin of the left eyebrow (1 patient). All wounds healed well without serious complications. Using the 4-type classification method in combination with the preoperative CT findings to analyze the extent of NDSC in infants is helpful for formulating the surgical plan. Using vertical incision approach alone or combined with nasal endoscopy for minimally invasive surgery can meet the needs of complete resection and reconstruction. Our results provide clinical data that can help establish standardized criteria for the diagnosis and treatment of NDSCs in infants. Wolters Kluwer Health 2020-05-22 /pmc/articles/PMC7249947/ /pubmed/32481248 http://dx.doi.org/10.1097/MD.0000000000019435 Text en Copyright © 2020 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by/4.0 This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0
spellingShingle 6000
Ni, Kun
Li, Xiaoyan
Zhao, Limin
Wu, Jiali
Liu, Xiaojun
Shi, Haibo
Diagnosis and treatment of congenital nasal dermoid and sinus cysts in 11 infants: A consort compliant study
title Diagnosis and treatment of congenital nasal dermoid and sinus cysts in 11 infants: A consort compliant study
title_full Diagnosis and treatment of congenital nasal dermoid and sinus cysts in 11 infants: A consort compliant study
title_fullStr Diagnosis and treatment of congenital nasal dermoid and sinus cysts in 11 infants: A consort compliant study
title_full_unstemmed Diagnosis and treatment of congenital nasal dermoid and sinus cysts in 11 infants: A consort compliant study
title_short Diagnosis and treatment of congenital nasal dermoid and sinus cysts in 11 infants: A consort compliant study
title_sort diagnosis and treatment of congenital nasal dermoid and sinus cysts in 11 infants: a consort compliant study
topic 6000
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7249947/
https://www.ncbi.nlm.nih.gov/pubmed/32481248
http://dx.doi.org/10.1097/MD.0000000000019435
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