Description
A young woman presented with prominence of the dorsum of her nose since childhood. She had become increasingly self-conscious of her appearance but was otherwise fit and well. She denied symptoms of nasal obstruction, epistaxis or discharge but described an intermittent ache related to the lump. There was no history of seizures, meningitis or cerebral abscess. Examination revealed a firm midline dorsal hump (figures 1 and 2). The rest of the examination was normal.
Figure 1
Preoperative clinical photography demonstrates prominent nasal dorsum.
Figure 2
Anterolateral view.
Nasal surgery was delayed into adulthood as not to impede nasal development. At the age of 19 years she underwent open septorhinoplasty for correction of what was thought to be a congenital osseocartilagenous deformity. A skin-coloured, fibrous mass of adipose tissue, skeletal muscle and nerve fibres was...
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