Dermoid Cyst of the Nose: How To Treat It



A dermoid cyst is the most frequent midline nasal tumor; it can be seen anywhere from the nasal tip to the glabella.

  • It happens much like how body parts fuse together.

  • They could be connected to a sinus or a hair follicle in the punctum.

  • Before doing any operation, it is necessary to rule out an intracranial extension.


When secondary infection, it may be present before birth or after the first ten years of life. It could be connected to other nasal abnormalities.

Dermoid Cyst: At A Glance

A dermoid cyst of the nose or nasal dermoid cysts are common congenital abnormalities that can manifest as a midline nasal bulge. Nasal dermoid cysts are often present at birth and frequently identified by age three. It is highly unusual for an adult patient to have an inadvertently discovered nasal dermoid cyst.

What Are The Possible Symptoms

Sometimes, nasal dermoid cysts are overlooked or misdiagnosed. On the tip of the nose, look for these warning signs:


  • Reddish spot

  • Small lump or pimple that persists or grows larger

  • A tiny patch of black

  • Skin defect with a small hole that could leak milky fluid


An opening at the tip of the nose might result from the nasal dermoid cyst if it is not treated. A nasal infection or meningitis might develop in the youngster. The cyst's potential to encroach into the brain near the base of the skull is a further concern.

Diagnosis To Counter

Significant surgery might be required to remove a nasal dermoid cyst. Surgery of this kind is quite intrusive yet successful. In order to reach parts of the dermoid cyst, the surgeon must remove a portion of the nasal bone. To reach the remaining cyst, they must remove portions of the skull. Patients must stay in the hospital for a number of days because of the severe swelling around the eye. They eventually develop a noticeable scar on their head.

Treatment To Check

Early surgery is indicated to avoid infection, cyst growth, and tissue loss around the cyst.

Dermoid cyst ablation is a minimally invasive technique that involves inserting a tiny needle and plastic sleeve into the dermoid cyst. After draining the cyst of its contents, the cyst wall is abated (killed). The dead dermoid cyst cells are subsequently eliminated throughout the healing process by the body's natural "cleanup" processes. The surgery leaves a freckle-sized scar.


The dermoid is treated with surgical excision. The strategy is determined by where the cyst is located. A straight excision is preferable if it is higher up, and an open rhinoplasty is better if it is in the lower portion of the nose.


Medial or lateral osteotomies may be necessary following excision of the sinus tract. A combination of intracranial/extracranial surgery is advised in cases of intracranial extension.

Ending Thought

A nasal dermoid cyst requires surgical removal of the whole mass in order to be treated appropriately. The cyst might recur if dermoid cells are left in place.

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