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Nasal Dermoid Cyst with Sinus Tract Intranasal Bone: A Case Report

International Journal of Otolaryngology and Head & Neck Surgery 2024年第2期13卷 149-156页

作者： Sultan Kadasah Abdullah Alhelali saud aldhabaan Abdulaziz Al Qahtani Abdullah Musleh Ali Alshahrani Shahd Dlboh Sahar Al-Otaibi Department of Surgery College of Medicine University of Bisha Bisha Saudi Arabia Department of Otolaryngology Head and Neck Surgery Abha Children’s Hospital Abha Saudi Arabia Department of Otolaryngology Head and Neck Surgery Armed Forces Southern Region Hospital Khamis Mushait Saudi Arabia Department of Surgery College of Medicine King Khalid University Abha Saudi Arabia College of Medicine King Khalid University Abha Saudi Arabia

Dermoid cysts are benign tumors originating from germ cells, which can form in various locations, including the nasal area in rare cases. They are of unknown exact etiology, but it is suggested that it is due to abnormal tissue migration during early embryonic development. Nasal dermoid cysts albeit rare, can present in various forms such as sinuses, fistulas, or intracranially extending tracts. They can be asymptomatic and incidentally discovered or present with a visible external mass or sinus that is either painful, infected or cosmetically concerning. If nasal dermoid cysts with an intra-nasal bone sinus tract are left untreated, they can lead to life-threatening complications. This report describes the case of a 6-year-old girl with a nasal dermoid cyst connected to a superficial punctum by an intra-nasal tract. She had undergone surgical excision of a nasal swelling previously diagnosed as a dermoid cyst. One year later, she returned to our clinic with a recurrence of the nasal swelling. Imaging tests revealed a nasal dermoid cyst with a tract extending to the nasal tip, without intracranial expansion. The cyst, along with the entire tract, was successfully removed surgically, and the postoperative follow-up indicated no complications. Histopathology confirmed the diagnosis of a dermoid cyst. This case underscores the significance of considering the dermoid tract in nasal cyst cases and the necessity of its complete removal to prevent recurrence.

关键词： Dermoid Cyst Nasal Sinus Sinus Tract Intranasal Bone Benign Tumor Congenital Anomaly

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Unilateral Choanal Atresia in Adults: A Case Series

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International Journal of Otolaryngology and Head & Neck Surgery 2024年第3期13卷 187-193页

作者： Sultan Kadasah Abdulaziz Al Qahtani Ghalib Al-Sayed Abdullah Al Helali saud aldhabaan Abdullah Musleh Ali Asiry Mohammed Asiri Shahd Dlboh Adnan Al-Malki Abdulsalam Alqhtani Mohammed Al-khulban Sahar Al-Otaibi Department of Surgery College of Medicine University of Bisha Bisha Saudi Arabia Department of Otolaryngology Head and Neck Surgery Armed Forces Southern Region Hospital Khamis Mushait Saudi Arabia Department of Otolaryngology Head and Neck Surgery Abha Children&#8217s Hospital Abha Saudi Arabia Department of Surgery College of Medicine King Khalid University Abha Saudi Arabia Department of Otolaryngology Head and Neck Surgery Aseer Central Hospital Abha Saudi Arabia College of Medicine King Khalid University Abha Saudi Arabia

Choanal atresia (CA) is a rare occlusion of the posterior choanae. Unilateral cases have been reported more than bilaterally, and it’s more often right-sided in those patients. According to the literature, mixed bony-membranous atresia is the most common type. There is a high incidence of craniofacial and visceral anomalies associated with congenital choanal atresia. Therefore, investigation for associated congenital anomalies is an important step before the surgery. We report 2 cases of incidental finding of unilateral choanal atresia in a 21- and 17-year-old with nasal discharge being the only complaint in the former and nasal obstruction with headache in the latter. The patients were then scheduled for day-surgery as a case of choanal atresia for transnasal, endoscopic repair and posterior septectomy. The patients were discharged home on the same day with the absence of restenosis or other complications.

关键词： Choanal Atresia Nasal Obstruction Congenital Anomaly

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