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Case Reports
. 2017 May 4:2017:bcr2017219779.
doi: 10.1136/bcr-2017-219779.

Median philtrum sinus: a rare presentation and review of management options

Matthew Ming Kei Kwok  1 , Paul Paddle  1   2
Affiliations
Case Reports

Median philtrum sinus: a rare presentation and review of management options

Matthew Ming Kei Kwok et al. BMJ Case Rep. .

Abstract

Nasal dermoids are rare congenital abnormalities, and there is only one previously reported case of a philtrum sinus tract extending to the skull base. A 2-month-old boy was presented with an incidental finding of a median philtrum sinus with no infective features and no other abnormal clinical findings. MRI demonstrated a sinus tract extending from the philtrum to the crista galli. On multidisciplinary review, a conservative approach was taken due to the asymptomatic nature of the patient. Given the rarity of nasal dermoids, diagnosis requires precise clinical examination and MRI to identify the extent of the tract. Management options require a multidisciplinary case-specific approach and include non-surgical as well as surgical approaches.

Keywords: Congenital disorders; Ear, nose and throat/otolaryngology; Otolaryngology / ENT; Paediatrics.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Midline philtrum sinus in a 2-month-old infant.
Figure 2
Figure 2
(A,B) MRI scan showing a sinus tract extending from the philtrum to the crista galli.
See this image and copyright information in PMC

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References

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