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Arch Otolaryngol Head Neck Surg. 2003 Apr;129(4):464-71.

The presentation and management of nasal dermoid: a 30-year experience.

Author information

1
Department of Otolaryngology, The Children's Hospital and the Department of Otology and Laryngology, Harvard Medical School, Boston, MA 02115, USA. reza.rahbar@tch.harvard.edu

Abstract

OBJECTIVE:

To review the presentation of nasal dermoid in children and present guidelines for its management.

DESIGN:

Retrospective study (January 1, 1970, through December 31, 2000).

SETTING:

Tertiary-care pediatric medical center.

PATIENTS:

Number of patients: 42 (28 boys and 14 girls). Intervention Extensive review of the initial presentation, significant family and medical history, workup, surgical approach, complication, and rate of recurrence.

RESULTS:

Mean age of presentation was 32 months. The most common presentation was a nasoglabellar mass, in 13 patients (31%). Five patients presented with an associated craniofacial abnormality. Thirty-nine patients (93%) underwent a preoperative imaging workup. Thirty-one (74%) did not show any clinical and/or radiographic indication of intracranial extension. Thirty-four (81%) underwent extracranial excision, and 8 (19%) underwent combined intracranial-extracranial excision. Five patients (12%) presented with recurrence, extracranially in 4 and intracranially in 1. No other complication was noted, with a mean follow-up of 7 years.

CONCLUSIONS:

Nasal dermoid is a rare congenital anomaly. Preoperative evaluation is essential to rule out intracranial extension. Surgical strategy depends on the location and extent of the lesion, ranging from local excision to a combined intracranial-extracranial approach. Recurrence is uncommon and often easily managed.

PMID:
12707196
DOI:
10.1001/archotol.129.4.464
[Indexed for MEDLINE]

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