Endoscopic excision for postrhinoplasty mucous cyst of the nose

Mucous cysts formation following a rhinoplasty is a rare complication. Only 16 cases have been reported. The cysts seem to arise from mucosal remnants left in the subcutaneous layer and must be distinguished from other complications causing postoperative swelling of the nose, such as foreign body, paraffinoma and bony or cartilagineous fragments. We describe two cases of dorsal mucous cysts following rhinoplasty, provide a review of the concerning literature and discuss the removal of the lesions by nasal endoscopy. Nasal endoscopy allows excellent exposure of the operative field, without the need of open rhinoplasty technique, allowing fast healing, minor swelling and no external scar.