Congenital Lesions of Tip of Nose: Report of Two Cases with Review

Snigdha Goyal^1*, Sunder Goyal², Isha Saini², Amit Jain³

¹Department of Pathology, Dr. RML Postgraduate Institute of Medical Sciences, New Delhi, India.
²Department of Surgery, Kalpana Chawla Government Medical College, Karnal, India.
³Department of Surgery, Mewat Medical College, Mewat, India.

DOI: 10.4236/oalib.1101467                

Abstract

Tip of nose is most prominent part of the face. It has an aesthetic importance as well as influence on the psyche of children. Midline congenital lesions like dermoid cyst and haemangioma confined to the tip of nose are rare. Being midline structure of body congenital condition like dermoid cyst occurs due to the sequestration of the skin along the lines of embryonic closure. Haemangioma is another common congenital lesion of face in childhood. But haemangioma confined only to tip of nose is uncommon. We present these two uncommon congenital lesions of tip of nose.

Keywords

Congenital, Tip of Nose, Dermoid, Haemangioma

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1]	Tatar, E.C., Selçuk, O.T., Saylam, G., Özdek, A. and Korkmaz, H. (2009) The Management of Rare Nasal Mass— Nasal Dermoid Sinus Cysts: Open Rhinoplasty. Rare Tumors, 1, e40.
[2]	Bailey, B.J. (2001) Head & Neck Surgery—Otolaryngology. 3. Lippincott Williams & Wilkins, Philadelphia, 1117-1124.
[3]	Waner, M., North, P.E., Scherer, K.A., Frieden, I.J., Waner, A. and Mihm Jr., M.C. (2003) The Nonrandom Distribution of Facial Hemangiomas. Archives of Dermatology, 139, 869-875. http://dx.doi.org/10.1001/archderm.139.7.869
[4]	Sand, M., Sand, D., Thrandorf, C., Paech, V., Altmeyer, P. and Bechara, F.G. (2010) Cutaneous Lesions of the Nose. Head Face Medicine, 6, 7. http://dx.doi.org/10.1186/1746-160X-6-7
[5]	Tatlidede, S., Egemen, O., Ozkaya, O. and Erol, O. (2011) Witch Nose: An Embarassing Metaphor for Nasal Tip Dermoid Cysts. Journal of Craniofacial Surgery, 22, 1948-1951. http://dx.doi.org/10.1097/SCS.0b013e31822ea787
[6]	Madke, B., Nayak, C., Giri, A. and Jain, M. (2013) Nasal Dermoid Sinus Cyst in a Young Female. Indian Dermatology Online Journal, 4, 380-381. http://dx.doi.org/10.4103/2229-5178.120669
[7]	Bilkay, U., Gundogan, H., Ozek, C., et al. (2001) Nasal Dermoid Sinus Cysts and the Role of Open Rhinoplasty. Annals of Plastic Surgery, 47, 8. http://dx.doi.org/10.1097/00000637-200107000-00002
[8]	Paller, A.S., Pensler, J.M. and Tomita, T. (1991) Nasal Midline Masses in Infants and Children. Dermoids, Encephaloceles, and Gliomas. Archives of Dermatology, 127, 362-366. http://dx.doi.org/10.1001/archderm.1991.01680030082011
[9]	Wang, I.J., Lin, S.L., Tsou, K.I., Hsu, M.C., Chiu, W.T., Tsai, S.H., et al. (2010) Congenital Midline Nasal Mass: Cases Series and Review of the Literature. Turkish Journal of Pediatrics, 52, 520-524.
[10]	Cambiaghi, S., Micheli, S., Talamonti, G. and Maffeis, L. (2007) Nasal Dermoid Sinus Cyst. Pediatric Dermatology, 24, 646-650. http://dx.doi.org/10.1111/j.1525-1470.2007.00555.x
[11]	Farvolden, D., Sweeney, S.M. and Wiss, K. (2005) Lumps and Bumps in Neonates and Infants. Dermatologic Therapy, 18, 104-116. http://dx.doi.org/10.1111/j.1529-8019.2005.05016.x
[12]	Bratton, C., Suskind, D.L., Thomas, T. and Kluka, E.A. (2001) Autosomal Dominant Familial Frontonasal Dermoid Cysts: A Mother and Her Identical Twin Daughters. International Journal of Pediatric Otorhinolaryngology, 57, 249-253. http://dx.doi.org/10.1016/S0165-5876(00)00437-7
[13]	Wardinsky, T.D., Pagon, R.A., Kropp, R.J., Hayden, P.W. and Clarren, S.K. (1991) Nasal Dermoid Sinus Cysts: Association with Intracranial Extension and Multiple Malformations. The Cleft Palate-Craniofacial Journal, 28, 87-95. http://dx.doi.org/10.1597/1545-1569(1991)028<0087:NDSCAW>2.3.CO;2
[14]	Lees, M.M., Connelly, F., Kangesu, L., Sommerlad, B. and Barnicoat, A. (2006) Midline Cleft Lip and Nasal Dermoids over Five Generations: A Distinct Entity or Autosomal Dominant Pai Syndrome? Clinical Dysmorphology, 15, 155-159. http://dx.doi.org/10.1097/01.mcd.0000204987.61990.f0
[15]	Mankarious, L. and Smith, R.J. (1998) External Rhinoplasty Approach for Extirpation and Immediate Reconstruction of Congenital Midline Nasal Dermoids. Annals of Otology, Rhinology & Laryngology, 107, 786-789. http://dx.doi.org/10.1177/000348949810700909
[16]	Weiss, D.D., Robson, C.D. and Mulliken, J.B. (1998) Transnasal Endoscopic Excision of Midline Nasal Dermoid from the Anterior Cranial Base. Plastic & Reconstructive Surgery, 102, 2119-2123. http://dx.doi.org/10.1097/00006534-199811000-00048
[17]	Waner, M., Kastenbaum, J. and Scherer, K. (2008) Hemangiomas of the Nose. Archives of Facial Plastic Surgery, 10, 329-334. http://dx.doi.org/10.1001/archfaci.10.5.329
[18]	Musumeci, M.L., Schlecht, K., Perrotta, R., Schwartz, R.A. and Micali, G. (2008) Management of Cutaneous Hemangiomas in Pediatric Patients. Cutis, 81, 315-322.
[19]	Stier, M.F., Glick, S.A. and Hirsch, R. (2008) Laser Treatment of Pediatric Vascular Lesions: Port Wine Stains and Hemangiomas. Journal of the American Academy of Dermatology, 58, 261-285. http://dx.doi.org/10.1016/j.jaad.2007.10.492
[20]	Barry, R.B., Hughes, B.R. and Cook, L.J. (2008) Involution of Infantile Haemangiomas after Imiquimod 5% Cream. Clinical and Experimental Dermatology, 33, 446-449. http://dx.doi.org/10.1111/j.1365-2230.2007.02676.x
[21]	Léauté-Labrèze, C., Dumas de la Roque, E., Hubiche, T., Boralevi, F., Thambo, J.B. and Taïeb, A. (2008) Propranolol for Severe Hemangiomas of Infancy. New England Journal of Medicine, 358, 2649-2651. http://dx.doi.org/10.1056/NEJMc0708819
[22]	Löffler, H., Kosel, C., Cremer, H. and Kachel, W. (2009) Propanolol Therapy to Treat Problematic Hemangiomas. A New Standard Therapy Makes Its Debut. Der Hautarzt, 60, 1013-1016. http://dx.doi.org/10.1007/s00105-009-1856-4