Multidisciplinary Management of Nasal Dermoid with Intracranial Extension

Authors

  • Kristen Briney Cornell University, Ithaca, New York, USA
  • Catrina Estrella College of Mount Saint Vincent, Riverdale, New York, USA
  • Shaan Mody Rutgers University, Camden, New Jersey, USA
  • Evelyne Kalyoussef Department of Otolaryngology, Rutgers New Jersey Medical School, Newark, New Jersey, USA
  • Esther A Nimchinsky Department of Neuroradiology, Rutgers New Jersey Medical School, Newark, New Jersey, USA
  • Catherine A Mazzola New Jersey Pediatric Neuroscience Institute, Morristown, New Jersey, USA

Keywords:

Intracranial Extension, Midline Facial Mass, Nasal Dermoid Cyst

Abstract

Nasal dermoids are rare congenital lesions present in 1/20,000 to 1/40,000 patients. Only about 10% of
these congenital lesions have an associated tract or tail with an intracranial extension. The intracranial
component of the mass predisposes the child to risks of meningitis and abscess formation. We aim to
discuss the etiology of dermoid cysts as well as neurosurgical approaches for the management of cases
with intracranial extension, which include both endoscopic and open surgical approaches. We present
an 18-month-old boy who underwent a bifrontal craniotomy and resection of his nasal dermoid with
intracranial extension. This case report and review of the literature exemplify the collaboration between
pediatric otorhinolaryngologists and neurosurgeons to successfully remove nasal dermoids specifically
presenting with intracranial extensions.

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Published

2022-09-02

Issue

Vol. 3 No. 3

Section

Articles