Naso-Orbital Fistula in a Young Child

Nasal dermoids are the most common midline congenital masses of nose presenting in early childhood. Most of them present before the age of 3 years. They present as midline nasal mass or a sinus opening anywhere from glabella to columella. They are lined by keratinized squamous epithelium with adnexal structures. Some of them may secrete sebaceous material and are prone to recurrent infection. They may be associated with intracranial extension. Here, we present a case of infected nasal dermoid with intracranial extension and orbital fistula.