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Mucous Cysts of the Nose: A Postrhinoplasty Complication?: A Long-Term Follow-Up

Dionyssopoulos, Alexander MD, PhD*; Nikolis, Andreas MD, MSc†; Papaconstantinou, Antony MD‡; Kakas, Paraskevas MD‡; Miliaras, Dimosthenis MD, PhD§¶; Kekes, George MD, PhD∥

doi: 10.1097/SAP.0b013e3181b142ba
Aesthetic Surgery

Mucous cysts are very rare complications following rhinoplasty; less than 20 cases have been reported in literature. We present 2 new cases. The first case presented a cyst located beneath the glabella and above the articulation between the spina nasalis and the os nasale. The lesion first appeared 22 months following elective rhinoplasty. The treatment was complete surgical excision using a direct open approach. In the second case, a cyst was indentified between the right inner canthus and the sidewall of the nose. It appeared 6 months following elective rhinoplasty. The treatment was complete surgical excision through a transcartilaginous approach. Both patients had good postoperative results with no evidence of recurrence after a 7- and 8-year follow-up period, respectively. We believe that it is possible to prevent the appearance of mucous cysts after rhinoplasty, with careful dissection and avoidance of dispersion of mucosal material into a subcutaneous plane.

From the *Department of Plastic Surgery, General Hospital “Papageorgiou,” Faculty of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece; †Division of Plastic Surgery, Hôpital Notre Dame, University of Montreal Health Center (CHUM), Montreal, PQ, Canada; ‡Department of Plastic Surgery, “Papageorgiou” Hospital, Thessaloniki, Greece; §Laboratory of Histology, Faculty of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece; ¶Department of Pathology, “Geniki clinic” Hospital of Thessaloniki, Thessaloniki, Greece; and ∥2nd Department of ENT-Head and Neck Surgery, General Hospital “Papageorgiou,” Faculty of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece.

Received March 2, 2009, and accepted for publication, after revision, June 4, 2009.

All authors state that they have not received any funding of any kind, for this work.

Reprints: Alexander Dionyssopoulos, MD, PhD, Department of Plastic Surgery, “Papageorgiou” General Hospital, Faculty of Medicine, Aristotle University of Thessaloniki, Periferiaki Odos Thessalonikis, 546 03 Thessaloniki, Greece. E-mail: adionys@auth.gr.

© 2010 Lippincott Williams & Wilkins, Inc.