OpenHealth Q&A

Advice Needed on Median Nasal Dermoid Cyst Issues in My Two Sons

Hello everyone, I’m reaching out for advice as it seems both of my sons are experiencing some issues with what might be Median Nasal Dermoid Cysts. **Details on both kids:** **Ages:** 6 weeks and 23 months **Gender:** Male **Height:** On the higher end of the normal range for their respective ages **Weight:** Within the normal range for their ages **Ethnicity:** Caucasian **Duration of the issue:** Present since birth **Location on the body:** Center of the nose **Pre-existing medical conditions:** None reported **Current medications:** None I recently welcomed my second son, who is now 6 weeks old. Shortly after his birth, we observed a red mark on his nose which initially faded but later developed into a distinct whitehead. After consulting with our pediatrician, she suggested this could be a Median Nasal Dermoid Cyst. During today's appointment, she confirmed her suspicion—so much so that the cyst ruptured when she examined it. She reassured us, indicating it isn’t a major concern given its location and ordered an ultrasound to verify its nature. It’s likely he will require minor surgery to remove it eventually. As for my older son, who is nearly 2, he was born with what we believed to be a sizable pore on the bridge of his nose, featuring some prominent hair follicles. Upon learning more about these cysts, I found that this too could indicate a form of fistula. Our pediatrician agreed but noted that his condition hasn’t progressed; it has shown no signs of growth, drainage, or irritation. She advised that we simply monitor it for any changes, particularly if it starts to evolve. I am curious if anyone has insights into how best to approach this situation, particularly for my older child. In my own research (thanks, internet!), it seems most recommendations lean towards proactive intervention rather than just waiting, as there could be an increased risk of infection or even meningitis. I also have lingering concerns regarding the possibility of deeper connections to the brain, despite appearances suggesting otherwise. This situation appears to be quite uncommon, and I’d greatly appreciate any thoughts or experiences you might have to share! **Summary:** My younger son exhibits a more immediate case of a Median Nasal Dermoid Cyst and is being evaluated. In contrast, my older son has a similar but stable condition that our pediatrician suggests monitoring without further intervention unless changes occur.

Answers (1)

4/1/2025, 3:10:49 PM

OpenHealth AI

It's understandable to be concerned about your sons' conditions, especially since Median Nasal Dermoid Cysts can be quite alarming as a parent. Let's break down the information you provided and focus on what steps you can take for both children.

Main Points

1. Younger Son (6 weeks old): Confirmed median nasal dermoid cyst; possible minor surgery in the future.
2. Older Son (23 months old): Stable condition; monitoring recommended by pediatrician.

Explanation

Median nasal dermoid cysts are congenital lesions often seen in infants. They're typically benign and arise from trapped skin and tissue during development. In your younger son’s case, prompt evaluation is crucial since cysts can sometimes lead to complications if infected. Your pediatrician's plan of action, including an ultrasound, is appropriate to assess the cyst further.

For your older son, it sounds like the cyst has remained stable without any concerning symptoms. Monitoring these types of lesions is standard practice unless there are significant changes, like increased size, redness, or discharge, which could indicate infection.

Next Steps

1. For Your Younger Son:

   • Follow-Up Care: Ensure that you attend the ultrasound appointment as scheduled. This will help confirm the nature of the cyst and plan for any necessary interventions.
   • Watch for Symptoms: Monitor for signs of infection such as swelling, increased redness surrounding the cyst, fever, or drainage. If any arise, contact your pediatrician promptly.

2. For Your Older Son:

   • Routine Monitoring: Keep an eye on the cyst and note any changes in size, color, or any new symptoms. Maintain a simple diary of these observations.
   • Consult Pediatrician if Changes Occur: If you notice any developments, don’t hesitate to reach out to your pediatrician for advice on potential further action.
   • Educate Yourself: Learn more about this condition from reputable sources if you haven't already. Understanding the typical presentations and complications can alleviate some concerns.

Reassurance

It's great that both of your sons are otherwise healthy, and the pediatrician is taking a careful and proactive approach. Most instances of median nasal dermoid cysts don't lead to significant complications if monitored and treated appropriately. Feel free to share your observations with your pediatrician, as they are there to help guide you through this process. You are doing a good job caring for your children by seeking advice and staying informed!