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CURRENT ISSUECHIRURGIA

A Journal on Surgery


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Chirurgia 2013 December;26(6):437-40

language: Italian

Mucous cyst of the nose: a rare postrhinoplasty complication

Schonauer F., Accardo G., Nele G.

Dipartimento di Patologia Sistematica Area Funzionale di Chirurgia plastica, Ricostruttiva ed Estetica AOU Federico II di Napoli, Napoli, Italia


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Complications of rhinoplasty can be classified in hemorrhagic, infectious, traumatic, functional, aesthetic problems and soft tissue complications; they, in turn, can be distinguished in early, such as hemorrhagic and infectious complications, and late ones, such as functional and aesthetic problems, according to the time of appearance from rhinoplasty. The appearance of post-rhinoplasty mucous cyst is a late complication and it can be considered very rare. Until now, less than 20 cases have been reported in literature; the nasal dorsum, along with the lines of a nasal osteotomy, is the most affected area but other rare localizations like the tip of the nose, the inner canthus and the paranasal area have also been described. We present a case of mucous cyst affecting the nasal dorsum as a complication after rhinoplasty. The lesion was excised through a direct percutaneous surgical approach, under local anesthesia with sedation and it was sent to histology; the survey revealed a mucous cyst lined with ciliated columnar epithelium, its wall was infiltrated by inflammatory elements and cartilaginous fragments were found inside the cyst. The aesthetic and functional result was satisfactory and the patient did not require a subsequent revision of the nose. The ectopic implantation of free mucous grafts during surgery is the most accepted theory for the formation of mucous cysts after rhinoplasty; therefore we consider that the best prevention for this complication is the meticulous clearing of bone or cartilage portions employed as grafts during rhinoplasty, in order to carefully remove any residues of the nasal mucosa.

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