Inclusion mucous cysts of the nose: a late complication after septorhinoplasty in two cleft lip patients.
BACKGROUND
Mucous cysts of the nose are a rare complication of rhinoplasty. They may develop as a result of implantation or herniation of mucosa. The entrapped epithelium may proliferate, forming a subcutaneous cyst.


METHODS
Two patients with unilateral cleft lip nose deformity had previously undergone corrective rhinoplasty. Years after the operation, they noticed a growing mass in the nasal dorsum and presented for revision rhinoplasty. Complete surgical removal was performed by an open approach, and plastic reconstruction was performed with a rib cartilaginous graft.


RESULTS
In both cases, histopathological investigation revealed a mucous cyst. No recurrence of disease was observed over 2 years of monitoring.


CONCLUSIONS
Nasal mucous cysts are not specific complications of corrective surgery for cleft lip nose. Displacement of fragments of epithelium should be avoided to prevent this unwanted sequela. For complete removal, open rhinoplasty is recommended.
Pausch
Niels Christan
NC
Department for Craniomaxillofacial Surgery, University Leipzig, Leipzig, Germany. niels.pausch@medizin.uni-leipzig.de
Bertolini
Julia
J
Hemprich
Alexander
A
Hierl
Thomas
T
D000293:Adolescent; D002971:Cleft Lip / Q000150:complications*; D002972:Cleft Palate / Q000150:complications*; D003560:Cysts / Q000209:etiology* / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D009297:Nasal Mucosa / Q000473:pathology / Q000601:surgery; D009667:Nose Deformities, Acquired / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D012086:Reoperation; D012225:Rhinoplasty / Q000009:adverse effects*; D055815:Young Adult