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Updated: May 9, 2026

09:53
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Published on: July 5, 2021
Transcranial nasoethmoidal dermoids: a review and rationale for approach
Miles J Pfaff1, Shixin Bickerton, Michael DiLuna
1Section of Plastic and Reconstructive, Yale University, New Haven, CT 06520, USA.
Summary
Nasal dermoid cysts, congenital midline nasal masses, can be surgically removed using transcranial, open rhinoplasty, or combined approaches. The chosen method depends on the cyst
Area of Science:
- Otolaryngology
- Pediatric Surgery
- Neurosurgery
Background:
- Nasal dermoid cysts are common congenital midline nasal masses.
- Surgical approach for nasal dermoid cyst removal depends on lesion location and extent.
Observation:
- This series reviews three pediatric cases of nasal dermoid cysts.
- Case 1: 4-year-old female underwent transcranial approach.
- Case 2: 6-year-old female underwent open rhinoplasty.
- Case 3: 3-year-old male underwent combined transcranial and open nasal approach.
Findings:
- All three surgical approaches were performed without complications.
- Demonstrates feasibility of different surgical techniques for nasal dermoid cyst removal.
- Highlights successful management of nasal dermoid cysts with varying complexity.
Implications:
- Provides a review of common presentations and surgical treatments for nasal dermoid cysts.
- Illustrates three distinct surgical approaches for complete cyst extirpation.
- Offers valuable insights for surgeons managing congenital midline nasal masses.
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