Hello doctor, My daughter has had a pin hole from birth on the bridge of her nose. We asked her pediatrician and she said with time it will fade away, but I have been researching because white stuff comes out from the tiny hole. Now she is 4 years and it starts to swell up and it is red and tender, her nose also sweats a lot. Is it a nasal dermoid cyst? Please help. Also, what can I do to bring the swelling down?
Hi. This is definitely a dermoid cyst sinus. This lesion typically presents as a small opening (sinus) at birth and as the child grows the wall lining in the cyst accumulates sebaceous material which can get secondarily infected, resulting in swelling and then a discharge. In very few cases, the sinus disappears as age progresses. The infection has to be treated with antibiotics and once the infection subsides this cyst along with the enter sinus tract has to be excised under general anesthesia. For now, you can give her an antibiotic containing Amoxicillin with Potassium clavulanate 475 mg 4 ml three times a day for one week. In addition syrup Ibugesic plus (or its equivalent) 4 ml two times a day for one week to reduce the inflammation and pain. I think, for now, this should be sufficient. Please do not go to puncture or do anything to the swelling as it can flare up the infection and inflammation. I hope this helps.