A retrospective single-center study in 20 patients with midline nasal masses: which site has the highest risk of recurrence?
Objectives: Midline nasal masses are rare and challenging for surgeons. This study examined the site with the highest risk of recurrence following midline nasal mass excisions. - Methods: Surgical outcomes were retrospectively reviewed following excision of midline nasal masses between 2010 and 2022...
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| Main Authors: | , , , , , |
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| Format: | Article (Journal) |
| Language: | English |
| Published: |
March 2025
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| In: |
Annals of otology, rhinology & laryngology
Year: 2025, Volume: 134, Issue: 3, Pages: 218-224 |
| ISSN: | 1943-572X |
| DOI: | 10.1177/00034894241300801 |
| Online Access: | Verlag, kostenfrei, Volltext: https://doi.org/10.1177/00034894241300801 Verlag, kostenfrei, Volltext: https://journals.sagepub.com/doi/10.1177/00034894241300801 
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| Author Notes: | Miray-Su Yılmaz Topçuoğlu, MD, Peter K. Plinkert, MD, Angelika Seitz, MD, Ahmed El Damaty, MD, Heidrun Bächli, MD, and Ingo Baumann, MD |
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| 245 | 1 | 0 | |a A retrospective single-center study in 20 patients with midline nasal masses |b which site has the highest risk of recurrence? |c Miray-Su Yılmaz Topçuoğlu, MD, Peter K. Plinkert, MD, Angelika Seitz, MD, Ahmed El Damaty, MD, Heidrun Bächli, MD, and Ingo Baumann, MD |
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| 520 | |a Objectives: Midline nasal masses are rare and challenging for surgeons. This study examined the site with the highest risk of recurrence following midline nasal mass excisions. - Methods: Surgical outcomes were retrospectively reviewed following excision of midline nasal masses between 2010 and 2022 in the predominantly pediatric patient cohort. The primary outcome measure was the recurrence rate. - Results: Overall, 22 nasal masses were resected from 20 patients. Of these masses, 16 were nasal dermoid sinus cysts (NDSC), 2 were hamartomas, 1 was an epidermoid cyst, and 1 was a mature teratoma. Five of the nasal masses were classified as intracranial lesions, 11 were classified as intraosseous lesions, and 6 were classified as superficial lesions. The open rhinoplasty approach was chosen in 65% of the surgeries. For the intracranially extended lesions, a combined nasocranial approach was performed. Four revision surgeries were performed due to superficial recurrences at the nasal dorsum of lesions, that were primarily classified as intraosseous lesions. - Conclusions: All recurrences had a superficial extension and were easily excised. Intraosseous NDSC have the highest risk of recurrence, but conversely, they also occur most frequently. | ||
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