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

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.