Imaging and surgical approach of nasal dermoids
Objective: Determine the most accurate and cost effective radiographic evaluation for nasal dermoids. Determine the best surgical approach for excision of nasal dermoids. Design: Retrospective chart review. Setting: Division of Pediatric Otolaryngology, Children's Hospital and Health Center, Sa...
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| Veröffentlicht in: | International journal of pediatric otorhinolaryngology 2002-02, Vol.62 (2), p.111-122 |
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| container_title | International journal of pediatric otorhinolaryngology |
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| creator | Bloom, David C. Carvalho, Daniela S. Dory, Christopher Brewster, Douglas F. Wickersham, Jean K. Kearns, Donald B. |
| description | Objective: Determine the most accurate and cost effective radiographic evaluation for nasal dermoids. Determine the best surgical approach for excision of nasal dermoids.
Design: Retrospective chart review.
Setting: Division of Pediatric Otolaryngology, Children's Hospital and Health Center, San Diego, California.
Participants: All patients with nasal dermoids evaluated and treated from 1990 to 2000.
Intervention: Preoperative radiographic evaluation and surgical excision.
Outcome measures: Accuracy of CT and MRI correlated with surgical findings and results.
Results: Ten patients were identified with the diagnosis of nasal dermoid. The age at diagnosis ranged from 0 to 24 months, with a mean of 3 months. Six children presented with masses located at the glabella, three patients presented with masses located at the nasal dorsum and one presented with a mass at the nasal tip. Six children underwent a computed tomogram with contrast of the head. Seven children underwent a MRI study of the head. Three children underwent an initial CT followed by MRI. Twenty percent of children were found to have intracranial extension. CT scan accurately diagnosed intracranial extension in one case, was indeterminate in a second case and falsely positive in a third case. MRI correctly diagnosed intracranial extension in two cases and had no false positive or false negative results. No children were found to have associated intracranial anomalies. In the early years of the review, a simple excision was made over the mass with blunt and sharp dissection for removal. (An external rhinoplasty incision is now used with better exposure and improved cosmetic results.) In cases with intracranial communication, a combined approach of external rhinoplasty and craniotomy was used.
Conclusions: MRI alone is the most cost effective and accurate means of evaluating nasal dermoids and is essential for preoperative planning. The surgical approach of choice is external rhinoplasty for both cosmetic reasons and exposure of nasal dermoids with and without intracranial extension. |
| doi_str_mv | 10.1016/S0165-5876(01)00590-0 |
| format | Article |
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Design: Retrospective chart review.
Setting: Division of Pediatric Otolaryngology, Children's Hospital and Health Center, San Diego, California.
Participants: All patients with nasal dermoids evaluated and treated from 1990 to 2000.
Intervention: Preoperative radiographic evaluation and surgical excision.
Outcome measures: Accuracy of CT and MRI correlated with surgical findings and results.
Results: Ten patients were identified with the diagnosis of nasal dermoid. The age at diagnosis ranged from 0 to 24 months, with a mean of 3 months. Six children presented with masses located at the glabella, three patients presented with masses located at the nasal dorsum and one presented with a mass at the nasal tip. Six children underwent a computed tomogram with contrast of the head. Seven children underwent a MRI study of the head. Three children underwent an initial CT followed by MRI. Twenty percent of children were found to have intracranial extension. CT scan accurately diagnosed intracranial extension in one case, was indeterminate in a second case and falsely positive in a third case. MRI correctly diagnosed intracranial extension in two cases and had no false positive or false negative results. No children were found to have associated intracranial anomalies. In the early years of the review, a simple excision was made over the mass with blunt and sharp dissection for removal. (An external rhinoplasty incision is now used with better exposure and improved cosmetic results.) In cases with intracranial communication, a combined approach of external rhinoplasty and craniotomy was used.
Conclusions: MRI alone is the most cost effective and accurate means of evaluating nasal dermoids and is essential for preoperative planning. The surgical approach of choice is external rhinoplasty for both cosmetic reasons and exposure of nasal dermoids with and without intracranial extension.</description><identifier>ISSN: 0165-5876</identifier><identifier>EISSN: 1872-8464</identifier><identifier>DOI: 10.1016/S0165-5876(01)00590-0</identifier><identifier>PMID: 11788143</identifier><identifier>CODEN: IPOTDJ</identifier><language>eng</language><publisher>Amsterdam: Elsevier Ireland Ltd</publisher><subject>Biological and medical sciences ; Child, Preschool ; Computed tomographic imaging ; Cost-Benefit Analysis - economics ; Craniotomy - economics ; Dermoid Cyst - diagnosis ; Dermoid Cyst - economics ; Dermoid Cyst - surgery ; Excision ; Female ; Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics ; Humans ; Infant ; Infant, Newborn ; Magnetic resonance imaging (MRI) ; Magnetic Resonance Imaging - economics ; Male ; Medical sciences ; Nasal dermoid ; Non tumoral diseases ; Nose Neoplasms - diagnosis ; Nose Neoplasms - economics ; Nose Neoplasms - surgery ; Otorhinolaryngology. Stomatology ; Outcome Assessment (Health Care) ; Retrospective Studies ; Rhinoplasty - economics ; Sensitivity and Specificity ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the upper aerodigestive tract ; Tomography, X-Ray Computed - economics ; Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology</subject><ispartof>International journal of pediatric otorhinolaryngology, 2002-02, Vol.62 (2), p.111-122</ispartof><rights>2002 Elsevier Science Ireland Ltd</rights><rights>2002 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c457t-d6beaa184f9665308ff19092991a240edb6fee612f32a7e9f50b6b2a1600d5993</citedby><cites>FETCH-LOGICAL-c457t-d6beaa184f9665308ff19092991a240edb6fee612f32a7e9f50b6b2a1600d5993</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0165-5876(01)00590-0$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3548,27923,27924,45994</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=13423879$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11788143$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bloom, David C.</creatorcontrib><creatorcontrib>Carvalho, Daniela S.</creatorcontrib><creatorcontrib>Dory, Christopher</creatorcontrib><creatorcontrib>Brewster, Douglas F.</creatorcontrib><creatorcontrib>Wickersham, Jean K.</creatorcontrib><creatorcontrib>Kearns, Donald B.</creatorcontrib><title>Imaging and surgical approach of nasal dermoids</title><title>International journal of pediatric otorhinolaryngology</title><addtitle>Int J Pediatr Otorhinolaryngol</addtitle><description>Objective: Determine the most accurate and cost effective radiographic evaluation for nasal dermoids. Determine the best surgical approach for excision of nasal dermoids.
Design: Retrospective chart review.
Setting: Division of Pediatric Otolaryngology, Children's Hospital and Health Center, San Diego, California.
Participants: All patients with nasal dermoids evaluated and treated from 1990 to 2000.
Intervention: Preoperative radiographic evaluation and surgical excision.
Outcome measures: Accuracy of CT and MRI correlated with surgical findings and results.
Results: Ten patients were identified with the diagnosis of nasal dermoid. The age at diagnosis ranged from 0 to 24 months, with a mean of 3 months. Six children presented with masses located at the glabella, three patients presented with masses located at the nasal dorsum and one presented with a mass at the nasal tip. Six children underwent a computed tomogram with contrast of the head. Seven children underwent a MRI study of the head. Three children underwent an initial CT followed by MRI. Twenty percent of children were found to have intracranial extension. CT scan accurately diagnosed intracranial extension in one case, was indeterminate in a second case and falsely positive in a third case. MRI correctly diagnosed intracranial extension in two cases and had no false positive or false negative results. No children were found to have associated intracranial anomalies. In the early years of the review, a simple excision was made over the mass with blunt and sharp dissection for removal. (An external rhinoplasty incision is now used with better exposure and improved cosmetic results.) In cases with intracranial communication, a combined approach of external rhinoplasty and craniotomy was used.
Conclusions: MRI alone is the most cost effective and accurate means of evaluating nasal dermoids and is essential for preoperative planning. The surgical approach of choice is external rhinoplasty for both cosmetic reasons and exposure of nasal dermoids with and without intracranial extension.</description><subject>Biological and medical sciences</subject><subject>Child, Preschool</subject><subject>Computed tomographic imaging</subject><subject>Cost-Benefit Analysis - economics</subject><subject>Craniotomy - economics</subject><subject>Dermoid Cyst - diagnosis</subject><subject>Dermoid Cyst - economics</subject><subject>Dermoid Cyst - surgery</subject><subject>Excision</subject><subject>Female</subject><subject>Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Magnetic resonance imaging (MRI)</subject><subject>Magnetic Resonance Imaging - economics</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Nasal dermoid</subject><subject>Non tumoral diseases</subject><subject>Nose Neoplasms - diagnosis</subject><subject>Nose Neoplasms - economics</subject><subject>Nose Neoplasms - surgery</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>Outcome Assessment (Health Care)</subject><subject>Retrospective Studies</subject><subject>Rhinoplasty - economics</subject><subject>Sensitivity and Specificity</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the upper aerodigestive tract</subject><subject>Tomography, X-Ray Computed - economics</subject><subject>Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology</subject><issn>0165-5876</issn><issn>1872-8464</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE1LxDAQhoMoun78BKUXRQ91Z9omaU4i4hcIHtRzSJPJGtm2a7Ir-O_tfqBHLzMwPDPz8jB2jHCJgGL8MhSe81qKc8ALAK4ghy02wloWeV2JapuNfpE9tp_SBwBK4HyX7SHKusaqHLHxY2smoZtkpnNZWsRJsGaamdks9sa-Z73POpOGiaPY9sGlQ7bjzTTR0aYfsLe729ebh_zp-f7x5voptxWX89yJhozBuvJKCF5C7T0qUIVSaIoKyDXCEwksfFkYScpzaERTGBQAjitVHrCz9d0hyOeC0ly3IVmaTk1H_SJpiaUoEOQA8jVoY59SJK9nMbQmfmsEvTSlV6b0UoMG1CtTGoa9k82DRdOS-9vaqBmA0w1g0uDER9PZkP64sirKWi6TXq05GnR8BYo62UCdJRci2bl2ffgnyg-D3oNi</recordid><startdate>20020201</startdate><enddate>20020201</enddate><creator>Bloom, David C.</creator><creator>Carvalho, Daniela S.</creator><creator>Dory, Christopher</creator><creator>Brewster, Douglas F.</creator><creator>Wickersham, Jean K.</creator><creator>Kearns, Donald B.</creator><general>Elsevier Ireland Ltd</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>8BM</scope></search><sort><creationdate>20020201</creationdate><title>Imaging and surgical approach of nasal dermoids</title><author>Bloom, David C. ; Carvalho, Daniela S. ; Dory, Christopher ; Brewster, Douglas F. ; Wickersham, Jean K. ; Kearns, Donald B.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c457t-d6beaa184f9665308ff19092991a240edb6fee612f32a7e9f50b6b2a1600d5993</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Biological and medical sciences</topic><topic>Child, Preschool</topic><topic>Computed tomographic imaging</topic><topic>Cost-Benefit Analysis - economics</topic><topic>Craniotomy - economics</topic><topic>Dermoid Cyst - diagnosis</topic><topic>Dermoid Cyst - economics</topic><topic>Dermoid Cyst - surgery</topic><topic>Excision</topic><topic>Female</topic><topic>Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Magnetic resonance imaging (MRI)</topic><topic>Magnetic Resonance Imaging - economics</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Nasal dermoid</topic><topic>Non tumoral diseases</topic><topic>Nose Neoplasms - diagnosis</topic><topic>Nose Neoplasms - economics</topic><topic>Nose Neoplasms - surgery</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>Outcome Assessment (Health Care)</topic><topic>Retrospective Studies</topic><topic>Rhinoplasty - economics</topic><topic>Sensitivity and Specificity</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the upper aerodigestive tract</topic><topic>Tomography, X-Ray Computed - economics</topic><topic>Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bloom, David C.</creatorcontrib><creatorcontrib>Carvalho, Daniela S.</creatorcontrib><creatorcontrib>Dory, Christopher</creatorcontrib><creatorcontrib>Brewster, Douglas F.</creatorcontrib><creatorcontrib>Wickersham, Jean K.</creatorcontrib><creatorcontrib>Kearns, Donald B.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>ComDisDome</collection><jtitle>International journal of pediatric otorhinolaryngology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bloom, David C.</au><au>Carvalho, Daniela S.</au><au>Dory, Christopher</au><au>Brewster, Douglas F.</au><au>Wickersham, Jean K.</au><au>Kearns, Donald B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Imaging and surgical approach of nasal dermoids</atitle><jtitle>International journal of pediatric otorhinolaryngology</jtitle><addtitle>Int J Pediatr Otorhinolaryngol</addtitle><date>2002-02-01</date><risdate>2002</risdate><volume>62</volume><issue>2</issue><spage>111</spage><epage>122</epage><pages>111-122</pages><issn>0165-5876</issn><eissn>1872-8464</eissn><coden>IPOTDJ</coden><abstract>Objective: Determine the most accurate and cost effective radiographic evaluation for nasal dermoids. Determine the best surgical approach for excision of nasal dermoids.
Design: Retrospective chart review.
Setting: Division of Pediatric Otolaryngology, Children's Hospital and Health Center, San Diego, California.
Participants: All patients with nasal dermoids evaluated and treated from 1990 to 2000.
Intervention: Preoperative radiographic evaluation and surgical excision.
Outcome measures: Accuracy of CT and MRI correlated with surgical findings and results.
Results: Ten patients were identified with the diagnosis of nasal dermoid. The age at diagnosis ranged from 0 to 24 months, with a mean of 3 months. Six children presented with masses located at the glabella, three patients presented with masses located at the nasal dorsum and one presented with a mass at the nasal tip. Six children underwent a computed tomogram with contrast of the head. Seven children underwent a MRI study of the head. Three children underwent an initial CT followed by MRI. Twenty percent of children were found to have intracranial extension. CT scan accurately diagnosed intracranial extension in one case, was indeterminate in a second case and falsely positive in a third case. MRI correctly diagnosed intracranial extension in two cases and had no false positive or false negative results. No children were found to have associated intracranial anomalies. In the early years of the review, a simple excision was made over the mass with blunt and sharp dissection for removal. (An external rhinoplasty incision is now used with better exposure and improved cosmetic results.) In cases with intracranial communication, a combined approach of external rhinoplasty and craniotomy was used.
Conclusions: MRI alone is the most cost effective and accurate means of evaluating nasal dermoids and is essential for preoperative planning. The surgical approach of choice is external rhinoplasty for both cosmetic reasons and exposure of nasal dermoids with and without intracranial extension.</abstract><cop>Amsterdam</cop><pub>Elsevier Ireland Ltd</pub><pmid>11788143</pmid><doi>10.1016/S0165-5876(01)00590-0</doi><tpages>12</tpages></addata></record> |
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| subjects | Biological and medical sciences Child, Preschool Computed tomographic imaging Cost-Benefit Analysis - economics Craniotomy - economics Dermoid Cyst - diagnosis Dermoid Cyst - economics Dermoid Cyst - surgery Excision Female Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics Humans Infant Infant, Newborn Magnetic resonance imaging (MRI) Magnetic Resonance Imaging - economics Male Medical sciences Nasal dermoid Non tumoral diseases Nose Neoplasms - diagnosis Nose Neoplasms - economics Nose Neoplasms - surgery Otorhinolaryngology. Stomatology Outcome Assessment (Health Care) Retrospective Studies Rhinoplasty - economics Sensitivity and Specificity Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the upper aerodigestive tract Tomography, X-Ray Computed - economics Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology |
| title | Imaging and surgical approach of nasal dermoids |
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