Nasal dermoids are congenital midline masses accounting for 1% - 3% of all dermoids. The majority of lesions are superficial with no deep extension;a variable reported percentage might end blindly within the deeper midline structures of the nose or extend intracranially. Sequelae of infection can result in osteomyelitis, meningitis or cerebral abscess. These complications may result from inadequate surgical excision. We report a case of recurrent nasal dermoid that had associated nasal pyramid deformity.
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