Alabama Mom Scours the Internet to Find a Different Type of Surgery for Her Son’s Nasal Dermoid Cyst
Sara Allen noticed the tiny indentation on her son’s nose the day he was born in 2018. Three years later, “Don’t worry, it’s not a problem” became “You need to see a specialist.”
“I found out what the indentation was in 2021 only because I took Peyton to an ear, nose and throat specialist for chronic ear infections,” said Sara, who lives with her family in Alabama. “The doctor knew just by looking at it that Peyton had a nasal dermoid cyst.”
A nasal dermoid cyst is rare. It forms in the skull base during prenatal development, grows into a barbell shape and runs along the nasal bone and cartilage. While not cancerous, nasal dermoid cysts don’t just go away. If left untreated, they can cause serious complications.
Imaging scans suggested that the cyst in Peyton’s nose might be growing into his brain. Doctors recommended that Sara and her husband, Matt, take Peyton to a neurosurgeon. The closest one was five hours from their home, so the Allens packed up their family and made the drive.
This is where the story goes from scary to terrifying, Sara said. “The neurosurgeon told us that to remove the cyst, he’d have to make an ear-to-ear incision, peel the upper part of Peyton’s face down to the nose level, and cut away bone to access the nasal cavity. He said the swelling would be so bad we might not even recognize Peyton afterward and that Peyton would be in the hospital for three days.”
At the end of the conversation, Sara remembers the neurosurgeon telling her open surgery was the only way he knew how to remove the cyst—and if she could find someone to do it differently, she should.