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My daughter has pinhole on nasal bridge with swelling and discharge at present. Please help.

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Patient's Query

Hello doctor,

My daughter has had a pinhole 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?

Please help.

Answered by Dr. Bhadragiri Vageesh Padiyar

Education:

MBBS

Professional Bio:

Dr. Bhadragiri Vageesh Padiyar is an accomplished Otolaryngologist with expertise in head and neck surgery, as well as cochlear implant procedures. He is skilled in diagnosing and treating a wide range of ear, nose, and throat conditions with a focus on restoring function and improving quality of life. Known for his precision and patient-centered approach, Dr. Padiyar combines advanced surgical techniques with compassionate care. 

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

  1. 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.
  2. 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.
  3. For now, you can give her an antibiotic containing Amoxicillin with Potassium Clavulanate 475 mg three times a day for one week. In addition, syrup Ibugesic plus (or its equivalent) one teaspoon two times a day for one week can be given to reduce the inflammation and pain.
  4. 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.

Thanks and regards.

Medically reviewed by Dr. Vinodhini J.
Published At June 13, 2020
Reviewed At August 14, 2023

Education:

MBBS

Professional Bio:

Dr. Bhadragiri Vageesh Padiyar is an accomplished Otolaryngologist with expertise in head and neck surgery, as well as cochlear implant procedures. He is skilled in diagnosing and treating a wide range of ear, nose, and throat conditions with a focus on restoring function and improving quality of life. Known for his precision and patient-centered approach, Dr. Padiyar combines advanced surgical techniques with compassionate care. 

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Vinodhini J. is a Dental Surgeon with extensive years of clinical experience. She specializes in the diagnosis, prevention, and treatment of dental and oral health issues, including restorative, surgical, and cosmetic procedures. With a patient-centered approach, she focuses on maintaining oral health, alleviating discomfort, and enhancing smiles. Her expertise ensures comprehensive care tailored to each patient’s dental needs and overall wellbeing.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Bhadragiri Vageesh Padiyar is an accomplished Otolaryngologist with expertise in head and neck surgery, as well as cochlear implant procedures. He is skilled in diagnosing and treating a wide range of ear, nose, and throat conditions with a focus on restoring function and improving quality of life. Known for his precision and patient-centered approach, Dr. Padiyar combines advanced surgical techniques with compassionate care. 

This doctor is not available for online consultations on the platform anymore.

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