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lüll The presentation and management of nasal dermoid: a 30-year experience Rahbar R; Shah P; Mulliken JB; Robson CD; Perez-Atayde AR; Proctor MR; Kenna MA; Scott MR; McGill TJ; Healy GBArch Otolaryngol Head Neck Surg 2003[Apr]; 129 (4): 464-71OBJECTIVE: 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.|Adolescent[MESH]|Algorithms[MESH]|Child[MESH]|Child, Preschool[MESH]|Dermoid Cyst/*diagnosis/*surgery[MESH]|Female[MESH]|Hospitals, Pediatric/*statistics & numerical data[MESH]|Humans[MESH]|Infant[MESH]|Magnetic Resonance Imaging[MESH]|Male[MESH]|Nose Neoplasms/*diagnosis/*surgery[MESH]|Outcome Assessment, Health Care/statistics & numerical data[MESH]|Retrospective Studies[MESH]|Time Factors[MESH]|Tomography, X-Ray Computed[MESH] |