Treatment of Steatocystoma Multiplex on Whole Body: A Case Report

PURPOSE: Steatocystoma multiplex is a rare benign disease that occurred multiply on whole body surface. Many physicians have tried managing steatocystoma in variable methods. However it is hard to define the optimal way to cure steatocystoma. We performed both aspiration and excisional method to study the usefulness of both methods. METHODS: A 28-year-old woman has asymptomatic multiple subcutaneous nodules on whole body. Most lesions were aspirated with 26-guage needled 3cc syringe but large and purulent three nodules were excised. RESULTS: We diagnosed the lesion histologically as steatocystoma multiplex. Aspirated wound healed without scar, excised wound remained scar but esthetically acceptable. Axillary lesion contained so clustered type cysts that was difficult to aspirate whole cyst. Thus additional excisional method was needed. CONCLUSION: There are many practical methods to cure steatocystoma. However, there is no appropriate method to cure it. Therefore we should select different therapeutic method according to anatomical location and cyst size. Especially at subcutaneous fat-rich lesion like axilla and abdomen, it is better to excise the clustered cyst than to aspirate.

The Dimension of the Septal Cartilage Using the Cadaver Study

Although augmentation rhinoplasty with silicone implant was once the mainstream technique, more complex rhinoplasty procedures that focus on reshaping the nasal tip and columella are required to meet the customers' demands. After columellar control strut or septal extension graft have been introduced for the correction of the nasal tip and columella, the results of augmentation rhinoplasties were very good. But, the problem is the dimension of the septal cartilage which is used for the graft material. So, we dissected a total of 10 cadavers. The anterior-posterior dimension and the cephalic-caudal dimension of the septal cartilage were measured as if it were a rectangular shape. With using a 10 mm L-shaped strut, a septal cartilage was measured, too. As the results, we found that the anterior-posterior dimension of the septal cartilage was 22.1 mm on average, and the cephalic-caudal dimension was 28.0 mm on average. The average size of the septal cartilage was 627.2 mm2. With using a 10 mm L-shaped strut, the possible size of the graft was 226.2 mm2 with an average anterior-posterior dimension of 12.1 mm and an average cephalic-caudal dimension of 18.0 mm. This report will be beneficial when the surgeon performs the various rhinoplasty techniques using the septal cartilage.