# Combined Open Rhinoplasty and Vertical Incision Approach to Addressing a Recurrent Nasal Dermoid Sinus: A Case Report

## TL;DR

A three-year-old boy with a recurring nasal dermoid cyst was successfully treated using a combined surgical approach.

## Contribution

A combined open rhinoplasty and vertical incision approach is proposed for nasal dermoid cyst excision.

## Key findings

- MRI confirmed recurrence of a nasal dermoid cyst in a three-year-old patient.
- A combined surgical approach achieved excellent pathological and cosmetic outcomes.
- This case highlights an effective method for managing recurrent nasal dermoid cysts.

## Abstract

A three-year-old boy was referred to our clinic for a draining lesion on the dorsum of the nose, several months following the surgical excision of a nasal dermoid cyst in Egypt. Physical examination demonstrated a pit on the skin of the nasal dorsum, and magnetic resonance imaging (MRI) was consistent with dermoid cyst recurrence. The patient underwent reoperation using a combined vertical incision and open rhinoplasty approach, with excellent pathologic and cosmetic results. Here, we present this case as a surgical approach to consider in the excision of nasal dermoid cysts.