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Congenital nasal dermoids in children
C M Carroll1, R Gaffney, D McShane
1Department of Otolaryngology, Head and Neck Surgery, National Children's Hospital, Dublin. shccarroll@msn.com
Insights
A congenital midline nasal dermoid cyst in a 27-month-old male was successfully removed. This case highlights the effective surgical management of this rare congenital nasal mass.
Area of Science:
- Pediatric Surgery
- Otolaryngology
- Congenital Abnormalities
Background:
- Congenital midline nasal dermoid cysts are rare developmental anomalies.
- These cysts present as external nasal masses, often noticeable from birth.
Observation:
- A 27-month-old male presented with a midline nasal swelling present since birth, progressively increasing in size.
- Magnetic resonance imaging (MRI) revealed a central nasal bone defect with a soft tissue mass on the nasal bridge, involving the nasal septum without intracranial extension.
Findings:
- Surgical excision via an external rhinoplasty incision was performed under general anesthesia.
- Histopathology confirmed complete removal of a nasal dermoid cyst.
Implications:
- This case demonstrates successful surgical intervention for congenital midline nasal dermoid cysts.
- Effective management involves accurate diagnosis through imaging and complete surgical excision.
Abstract:
The case of a 27 month old male with a congenital midline nasal dermoid cyst is presented. The child attended the Ear, Nose and Throat outpatient's department in July 1995, with an external midline nasal swelling, which had been present at birth and was noted to be gradually increasing in size. Magnetic resonance imaging (MRI) showed a central defect of the nasal bones, with a soft tissue mass at the upper part of the nasal bridge expanding the nasal septum. There was no radiological evidence of intracranial extension. The child had the nasal mass removed under general anesthesia, through an external rhinoplasty incision. Histopathology confirmed that the mass was a fully excised nasal dermoid cyst. Current investigation and management of this condition is discussed.