Endoscopic-assisted, closed rhinoplasty approach for excision of nasoglabellar dermoid cysts

Objective/Hypothesis: To report the feasibility and early results of a new surgical technique for excision of nasoglabellar dermoid cysts. Study Design: Retrospective case series. Methods: Patients with nasoglabellar dermoid cysts without intracranial communication were treated with the endoscopic-assisted, closed rhinoplasty approach. Data pertaining to patient characteristics, surgical outcome, and cosmetic results were obtained by retrospectively reviewing medical records. Results: Three patients were included in the study. The endoscopic-assisted, closed rhinoplasty approach was utilized in all patients. In each case, complete excision was achieved without violation of the cyst wall. All patients had satisfactory cosmetic results as assessed by subjective evaluation by the parent(s) and surgeon. Conclusions: The endoscopic-assisted, closed rhinoplasty approach allows for safe and complete excision of uncomplicated nasoglabellar dermoid cysts. This new surgical technique should be considered in children with benign, midline nasal, and forehead masses due to its ease and excellent cosmetic results.