Surgical update on nasal dermoids.

A one-stage surgical procedure describing the removal of the necessary nasal bones for complete eradication of nasal dermoids, with subsequent replacement of the intact bones, is discussed herein. This technique has proved to be invaluable in two patients who underwent this procedure. Extensive meticulous dissection often is necessary to extirpate this cystic lesion to prevent its recurrence. Extensive surgery, however, need not result in a notable cosmetic deformity that requires secondary restorative measures. Using this technique, replaced nasal bone segments effect immediate reconstruction. A 20-year review of the cases of nasal dermoids from the Children's Hospital Medical Center, Boston, also is presented.