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Case Reports in Otolaryngology
Volume 2015, Article ID 159647, 4 pages
http://dx.doi.org/10.1155/2015/159647
Case Report

Management of Congenital Midline Nasofrontal Masses: Case Report and Review of Literature

Department of Otolaryngology, Head and Neck Surgery, Cantonal Hospital St. Gallen, Rorschacher Strasse 95, 9007 St. Gallen, Switzerland

Received 17 February 2015; Accepted 19 March 2015

Academic Editor: Manish Gupta

Copyright © 2015 A. C. Volck et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Epidermoid cysts, dermoids, gliomas, and meningo-/encephaloceles are the most important differential diagnoses in congenital nasofrontal masses. Since they arise from an abnormal fusion during fetal development, intracranial extension of the lesion has to be ruled out radiologically before therapy. Dermoids are the most common entity. We report about a congenital epidermoid cyst of the glabella and nasion that had been growing over the last two years before presentation in a 24-year-old patient. We discuss radiological imaging and the different surgical approaches described in literature.