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Nasal Dermal Sinus
Bernadette L. Koch, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Abbreviations

                • Nasal dermal sinus (NDS)
              • Synonyms

                • Nasal dermoid, nasal dermal cyst, anterior neuropore anomaly
              • Definitions

                • Defective embryogenesis of anterior neuropore resulting in any mixture of dermoid cyst, epidermoid cyst, &/or sinus tract in frontonasal region

              IMAGING

              • General Features

                • CT Findings

                  • MR Findings

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          • Gross Pathologic & Surgical Features

                            • Microscopic Features

                              CLINICAL ISSUES

                              • Presentation

                                • Demographics

                                  • Natural History & Prognosis

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Consider

                                        • Image Interpretation Pearls

                                          Selected References

                                          1. Gnagi SH et al: Nasal obstruction in newborns. Pediatr Clin North Am. 60(4):903-22, 2013
                                          2. Holzmann D et al: Surgical approaches for nasal dermal sinus cysts. Rhinology. 45(1):31-5, 2007
                                          3. Hedlund G: Congenital frontonasal masses: developmental anatomy, malformations, and MR imaging. Pediatr Radiol. 36(7):647-62; quiz 726-7, 2006
                                          4. Zapata S et al: Nasal dermoids. Curr Opin Otolaryngol Head Neck Surg. 14(6):406-11, 2006
                                          5. Huisman TA et al: Developmental nasal midline masses in children: neuroradiological evaluation. Eur Radiol. 14(2):243-9, 2004
                                          6. Vaghela HM et al: Nasal dermoid sinus cysts in adults. J Laryngol Otol. 118(12):955-62, 2004
                                          7. Rahbar R et al: The presentation and management of nasal dermoid: a 30-year experience. Arch Otolaryngol Head Neck Surg. 129(4):464-71, 2003
                                          8. Bloom DC et al: Imaging and surgical approach of nasal dermoids. Int J Pediatr Otorhinolaryngol. 62(2):111-22, 2002
                                          9. Lowe LH et al: Midface anomalies in children. Radiographics. 20(4):907-22; quiz 1106-7, 1112, 2000
                                          10. Belden CJ et al: The developing anterior skull base: CT appearance from birth to 2 years of age. AJNR Am J Neuroradiol. 18(5):811-8, 1997
                                          11. Castillo M: Congenital abnormalities of the nose: CT and MR findings. AJR Am J Roentgenol. 162(5):1211-7, 1994
                                          12. Posnick JC et al: Nasal dermoid sinus cysts: an unusual presentation, computed tomographic scan findings, and surgical results. Ann Plast Surg. 32(5):519-23, 1994
                                          13. MacGregor FB et al: Nasal dermoids: the significance of a midline punctum. Arch Dis Child. 68(3):418-9, 1993
                                          14. Barkovich AJ et al: Congenital nasal masses: CT and MR imaging features in 16 cases. AJNR Am J Neuroradiol. 12(1):105-16, 1991
                                          15. Paller AS et al: Nasal midline masses in infants and children. Dermoids, encephaloceles, and gliomas. Arch Dermatol. 127(3):362-6, 1991
                                          16. Wardinsky TD et al: Nasal dermoid sinus cysts: association with intracranial extension and multiple malformations. Cleft Palate Craniofac J. 28(1):87-95, 1991
                                          Related Anatomy
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                                          Related Differential Diagnoses
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                                          References
                                          Tables

                                          Tables

                                          KEY FACTS

                                          • Terminology

                                            • Imaging

                                              • Top Differential Diagnoses

                                                • Pathology

                                                  • Clinical Issues

                                                    • Diagnostic Checklist

                                                      TERMINOLOGY

                                                      • Abbreviations

                                                        • Nasal dermal sinus (NDS)
                                                      • Synonyms

                                                        • Nasal dermoid, nasal dermal cyst, anterior neuropore anomaly
                                                      • Definitions

                                                        • Defective embryogenesis of anterior neuropore resulting in any mixture of dermoid cyst, epidermoid cyst, &/or sinus tract in frontonasal region

                                                      IMAGING

                                                      • General Features

                                                        • CT Findings

                                                          • MR Findings

                                                            • Imaging Recommendations

                                                              DIFFERENTIAL DIAGNOSIS

                                                                PATHOLOGY

                                                                • General Features

                                                                  • Gross Pathologic & Surgical Features

                                                                    • Microscopic Features

                                                                      CLINICAL ISSUES

                                                                      • Presentation

                                                                        • Demographics

                                                                          • Natural History & Prognosis

                                                                            • Treatment

                                                                              DIAGNOSTIC CHECKLIST

                                                                              • Consider

                                                                                • Image Interpretation Pearls

                                                                                  Selected References

                                                                                  1. Gnagi SH et al: Nasal obstruction in newborns. Pediatr Clin North Am. 60(4):903-22, 2013
                                                                                  2. Holzmann D et al: Surgical approaches for nasal dermal sinus cysts. Rhinology. 45(1):31-5, 2007
                                                                                  3. Hedlund G: Congenital frontonasal masses: developmental anatomy, malformations, and MR imaging. Pediatr Radiol. 36(7):647-62; quiz 726-7, 2006
                                                                                  4. Zapata S et al: Nasal dermoids. Curr Opin Otolaryngol Head Neck Surg. 14(6):406-11, 2006
                                                                                  5. Huisman TA et al: Developmental nasal midline masses in children: neuroradiological evaluation. Eur Radiol. 14(2):243-9, 2004
                                                                                  6. Vaghela HM et al: Nasal dermoid sinus cysts in adults. J Laryngol Otol. 118(12):955-62, 2004
                                                                                  7. Rahbar R et al: The presentation and management of nasal dermoid: a 30-year experience. Arch Otolaryngol Head Neck Surg. 129(4):464-71, 2003
                                                                                  8. Bloom DC et al: Imaging and surgical approach of nasal dermoids. Int J Pediatr Otorhinolaryngol. 62(2):111-22, 2002
                                                                                  9. Lowe LH et al: Midface anomalies in children. Radiographics. 20(4):907-22; quiz 1106-7, 1112, 2000
                                                                                  10. Belden CJ et al: The developing anterior skull base: CT appearance from birth to 2 years of age. AJNR Am J Neuroradiol. 18(5):811-8, 1997
                                                                                  11. Castillo M: Congenital abnormalities of the nose: CT and MR findings. AJR Am J Roentgenol. 162(5):1211-7, 1994
                                                                                  12. Posnick JC et al: Nasal dermoid sinus cysts: an unusual presentation, computed tomographic scan findings, and surgical results. Ann Plast Surg. 32(5):519-23, 1994
                                                                                  13. MacGregor FB et al: Nasal dermoids: the significance of a midline punctum. Arch Dis Child. 68(3):418-9, 1993
                                                                                  14. Barkovich AJ et al: Congenital nasal masses: CT and MR imaging features in 16 cases. AJNR Am J Neuroradiol. 12(1):105-16, 1991
                                                                                  15. Paller AS et al: Nasal midline masses in infants and children. Dermoids, encephaloceles, and gliomas. Arch Dermatol. 127(3):362-6, 1991
                                                                                  16. Wardinsky TD et al: Nasal dermoid sinus cysts: association with intracranial extension and multiple malformations. Cleft Palate Craniofac J. 28(1):87-95, 1991