A Study on the Presentation and Management of Nasal Dermal Sinus

Abstract

Aim: Nasal dermal sinus is a relatively rare congenital condition. We have reviewed our experience in the presentation and managements of these cases. Patients and Methods: This is a retrospective study from June 2006 to January 2019. Patients presented with a nasal pit, with or without a hair in it were selected. They were studied for their various aspects before and after operation. Results: Out of eight patients studied one presented with infection and hence operation was done at a later date. One patient’s parents refused operation and hence seven patients were operated. Complete excision of dermal sinus by midline vertical incision under general anaesthesia was done. One patient had recurrence and was re-operated 14 years later. Follow-up was from 1 to 13years, with mean of 6 years. Conclusion: Nasal dermal sinus and dermal cyst without fistulae are two different entities. Most of these sinuses do not bear the intracranial extension. Excision can be done from the face and cranial exploration is rarely required.