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Review
. 2021 Dec 1;29(6):487-491.
doi: 10.1097/MOO.0000000000000765.

Paediatric nasal dermoid: evaluation and management

Eelam Adil  1   2 , Reza Rahbar  1   2
Affiliations
Review

Paediatric nasal dermoid: evaluation and management

Eelam Adil et al. Curr Opin Otolaryngol Head Neck Surg. .

Abstract

Purpose of review: The aim of this study was to present the evaluation and current management of congenital paediatric nasal dermoid.

Recent findings: There has been a trend towards less invasive surgical excision techniques, including purely endoscopic excision, endoscopic-assisted approaches and midline excision with nasal bone osteotomies and bone flap. These approaches allow adequate access for both total resection and nasal contour and skull base reconstruction. Following resection, if nasal bone osteotomies are insufficient for restoring nasal appearance, free temporoparietal fascial graft and/or conchal cartilage can be considered. For nasal tip deformities, interdomal sutures and free fat grafting are a suitable option.

Summary: Complete surgical excision remains the treatment of choice for nasal dermoid lesions. The surgical approach taken and reconstruction depends on the type of lesion (cyst versus sinus or fistula), location (intranasal versus extranasal), whether or not there is intracranial extension, and experience of the surgical team.

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References

    1. Pratt LW. Midline cysts of the nasal dorsum: embryologic origin and treatment. Laryngoscope 1965; 75:968–980.
    1. Hughes GB, Sharpino G, Hunt W, Tucker HM. Management of the congenital midline nasal mass: a review. Head Neck Surg 1980; 2:222–233.
    1. Paller AS, Pensier JM, Tomita T. Nasal midline masses in infants and children. Laryngoscope 1991; 107:795–800.
    1. Nishigaki K, Yamasaki O, Kawakami Y, et al. Familial nasal dermoid sinus cysts skipping generations. J Dermatol 2020; 47:e373–e375.
    1. Weiss DD, Robson CD, Mulliken JB. Transnasal endoscopic excision of midline nasal dermoid from the anterior cranial base. Plast Reconstr Surg 1998; 102:2119–2123.