Post-rhinoplasty mucous cyst formation of the nasal dorsum

Post-rhinoplasty mucous cyst formation of the nasal dorsum. Problem: Formation of a mucous cyst of the nasal dorsum after rhinoplasty is a rare complication, and a limited number of cases has been reported. Located subcutaneously, mucous cysts are thought to arise from traumatically displaced mucosal remnants. This may well be the result of inadequate surgical technique, and preservation of the mucosal lining, whenever possible, is therefore advocated when performing a rhinoplasty procedure. Methodology: We report a well-documented case of a patient with a mucous cyst of the nasal dorsum, which developed 40 years after the initial surgery. Results: The cyst was excised through an external rhinoplasty approach. A thin-walled cyst, firmly attached to the bony pyramid, was easily removed from the overlying skin. Conclusions: Histopathological confirmation of such cysts is emphasized, as well as consideration of the technical aspects of prior surgery, since this may provide insight into risk factors involved.