PMC4344965_01
A (Lt) Preoperative profile view, B (center) Post operative profile view after first surgery, C (Rt) Post operative profile view after second surgery and augmentation by iliac bone graft.
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F1
Four years before being referred to our center, she had undergone a cosmetic reduction rhinoplasty in another center (Figure 1A). She was unsatisfied because she had developed a large supratip fullness (Figure 1B). Afterwards, she underwent a second surgery a year later and the nasal dorsal defect was augmented by iliac bone graft (Figure 1C).
Well defined round mass in tip and supra tip after fibrinolysin injection. Left: profile view, Right: frontal view.
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F2
She had developed a well-defined round mass with firm consistency in the tip of her nose (Figure 2).
Discrete round mass was found and resected during the last operation.
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F3
During an open rhinoplasty operation, a discrete round mass was found (Figure 3).
(A) Cut Section of cyst wall showes granulation tissue formation and severe stromal edema. (B) New capillary formation and severe edema and chronic inflammation. (C) Granulation tissue formation and underlying fibroblastic proliferation.
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F4
Pathologic examination showed fibrosis and foreign body reaction (figure 4).
Final result of surgery after mass removal. Left: (profile view), Right (frontal view).
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F5
The final result of surgery is demonstrated in Figure 5.