Management of congenital nasal malformations

With the exception of nasal defects associated with cleft lips and palates, most nasal anomalies are rarely encountered. An understanding of the complicated embryologic basis of congenital nasal anomalies assists in both the diagnosis and management of these unusual problems. The current management of choanal atresia, nasal dermoids, nasal gliomas, nasal encephaloceles, nasal hemangiomas, arhinia, and proboscis lateralis are all discussed. A multidisciplinary, team approach often provides affected children with the best chance for an optimum outcome. Because of the rarity of these anomalies, extensive experience with these lesions is probably limited to larger referral centers.