title: Management of an epidermoid cyst in the nasal tip of a child: aesthetic and surgical considerations.
abstract: BACKGROUND
  A simple subcutaneous lesion such as an epidermoid cyst can present a challenge when located in the nasal tip, as regards aesthetic surgical management. Even when performed parallel to relaxed skin tension lines, a direct transcutaneous incision (commonly used for epidermoid cyst removal) distorts the nasal tip subunit, resulting in a conspicuous, disfiguring scar. This should be avoided, especially in children.
  
  
  METHODS
  A 13-year-old girl was referred by her dermatologist for diagnosis and treatment of a slowly progressive dermoid cyst located on the tip of her nose. The cyst was removed using a subcutaneous open rhinoplasty approach, leaving the aesthetic nasal tip subunit intact.
  
  
  CONCLUSIONS
  For aesthetic reasons, open rhinoplasty should be considered as a treatment option in patients with subcutaneous lesions in the nasal tip.
authors.affiliation: Department of Otorhinolaryngology/Head Neck Surgery, Erasmus Medical Centre, Rotterdam.
authors.forename: F R
authors.initials: FR
authors.lastname: Datema
authors.forename: G M
authors.initials: GM
authors.lastname: Bran
authors.forename: V C M
authors.initials: VC
authors.lastname: Koot
authors.forename: P J F M
authors.initials: PJ
authors.lastname: Lohuis
mesh_terms: D000293:Adolescent; D002921:Cicatrix / Q000517:prevention & control; D004814:Epidermal Cyst / Q000601:surgery*; D004954:Esthetics; D005260:Female; D006801:Humans; D009666:Nose / Q000601:surgery*; D009668:Nose Diseases / Q000601:surgery*; D012225:Rhinoplasty / Q000379:methods*