Innovative Surgical Management of Nasal Septal Lipoma: A Report of a Rare Case and Review of Literature

Nasal septal lipoma is a very rare entity that is encountered in otolaryngology, head and neck surgery, with only 16 reported cases in the literature, to the best of our knowledge. We have reported a child with an isolated septal lipoma without any associated syndromes or intracranial extension. Surgical excision was done, and the lipoma was found to be adherent to the nasal mucosa, so complete excision of the mass with its nasal mucosa was performed, and reconstruction of the defect was done using a cartilage-skin composite graft of the involved area. To our knowledge, this is the first case to be reconstructed using this technique and with complete healing of the nasal mucosa. A comprehensive review of the reported cases is done in this case report.