A Pilonidal Cyst as a Rare Cause of a Recurrent Nasal Hump: a Case Report and Literature Review

Piotr Drozdowski; Aleksander P. Jaworski; Aneta Drozdowska; Anna Ryczek; Barbara Sławińska

doi:10.5114/pg.2025.154776

eISSN: 2084-9893
ISSN: 0033-2526

Dermatology Review/Przegląd Dermatologiczny

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3/2025
vol. 112

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abstract:

Case report

A Pilonidal Cyst as a Rare Cause of a Recurrent Nasal Hump: a Case Report and Literature Review

Piotr H. Drozdowski

^{1, 2}

,

Aleksander P. Jaworski

^{1, 2}

,

Aneta Drozdowska

²

,

Anna Ryczek

³

,

Barbara Sławińska

⁴

Department of Plastic Surgery, Specialist Medical Centre, Polanica-Zdroj, Poland
SudetiaMed Ideal Health & Beauty, Klodzko, Poland
EsteDerm, Tarnow, Poland
Specialist Medical Centre, Polanica-Zdroj, Poland

Dermatol Rev/Przegl Dermatol 2025, 112, 205-209

DOI: https://doi.org/10.5114/pg.2025.154776

Online publish date: 2025/08/30

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A pilonidal cyst is a rare cause of a dorsal nasal hump. The literature review showed that all pilonidal cysts in this area were congenital or post-traumatic, and iatrogenic lesions had not been reported. We present the case of a 22-year-old woman who has undergone rhinoplasty with the external approach using piezoelectric techniques. Despite successful initial surgery, she experienced a recurrence of the hump, requiring revision surgery. Following the dissection of the nasal dorsum, an encapsulated structure was visualized and removed. Yellowish cheese-like contents started to ooze from the structure. Histological assessment of the lesion confirmed the presence of a pilonidal cyst. Revision surgery complications were not reported, and a long-lasting and satisfactory aesthetic effect was achieved. The patient remains under close supervision. Apart from the typical recurrence of the cartilaginous hump, a pilonidal cyst, dermoid cyst, and a teratoma should be considered in the differential diagnosis.

keywords:

complications, case report, rhinoplasty, pilonidal cyst

Indeks osobowy

A Pilonidal Cyst as a Rare Cause of a Recurrent Nasal Hump: a Case Report and Literature Review

Piotr H. Drozdowski 1, 2 , Aleksander P. Jaworski 1, 2 , Aneta Drozdowska 2 , Anna Ryczek 3 , Barbara Sławińska 4

complications, case report, rhinoplasty, pilonidal cyst

Piotr H. Drozdowski

^{1, 2}

,

Aleksander P. Jaworski

^{1, 2}

,

Aneta Drozdowska

²

,

Anna Ryczek

³

,

Barbara Sławińska

⁴