External rhinoplasty approach for nasal dermoids in children

Nasal dermoid is an uncommon condition but is still the most likely diagnosis when a child presents with a swelling on the nose visible at or shortly after birth. Total excision is the only treatment and this may require two procedures if there is an intracranial extension. The standard vertical midline scar is a common cause of dissatisfaction. We have used an external rhinoplasty approach for this problem and feel that it gives a better exposure with a superior cosmetic result.