How to treat nasal vestibule cyst

What method should be chosen for the treatment of nasal vestibule cyst? A diagnostic examination is required first, and then a scientific treatment method is adopted according to the condition. If the patient already has facial deformity and nasal congestion symptoms, or has a history of recurrent infection, then surgical removal is required.

1. Diagnostic examination

Rhinoscopy can reveal a semicircular bulge on the outer side of the nasal floor and at the junction of the skin and mucosa. When punctured under sterile conditions, transparent or translucent mucous or serous fluid can be drawn out. The cyst shrank after aspiration, but soon bulged again.

2. Diagnostic Basis

1. Nasal congestion and local swelling on one side.

2. There is a semicircular bulge at the bottom of the nasal vestibule or the attachment point of the nose wing, which is elastic and fluctuating when touched.

3. Local puncture produces a light yellow transparent liquid, which becomes purulent when infected.

4. X-ray shows a uniform circular shadow at the bottom of the piriform foramen.

3. Differential Diagnosis

Vestibulitis, nasal vestibule eczema, nasal vestibule pilosebaceous glands.

Vestibulitis is a diffuse inflammation of the skin. The causes are frequent nose picking, acute and chronic rhinitis and sinusitis, allergies or irritation from nasal secretions (more common in children), and long-term work in a dusty environment (such as cement, asbestos, fur, tobacco, etc.), which can easily induce or aggravate the disease.

Vestibular eczema is a skin lesion that occurs in the nasal vestibule and can spread to the skin of the nose wings, nose tip, and upper lip. It causes severe itching and is more common in children. It can be divided into acute and chronic types.

A localized acute suppurative infection of the sebaceous glands or sweat glands of the nasal vestibule is called nasal furunculosis, and a diffuse inflammation of the skin of the nasal vestibule is called nasal vestibulitis.

IV. Treatment

If the cyst is large and the patient has facial deformity and nasal congestion symptoms or a history of recurrent infection, surgical removal should be performed via the labiogingival sulcus approach.

Surgical method: Make a transverse incision on the side of the cyst close to the frenulum of the upper lip, separate the soft tissue toward the piriform foramen, expose the cyst wall, and then carefully separate and completely remove it. If the cyst wall is tightly adhered to the nasal vestibule skin, the principle should still be to completely remove the cyst wall. It is inevitable to tear the skin of the nasal vestibule during the operation. The treatment method is to compress the area with Vaseline gauze after the operation and wait for the granulation tissue to repair day by day.