Introduction Nasal dermoid is an uncommon midline anomaly. Its incidence has been reported to be 1 out of 20.000 live births [1]. The incidence of nasal dermoid more in males than females. 10% of dermoid cysts found in the head & neck. [2] Most of dermoids are diagnosed with in the first 3 years of life but in some cases the diagnosis can be delay. [3] Complete excision of nasal dermoid is mandatory in order to prevent recurrence. Multiple approaches have been described, including vertical incision, transverse incision, lateral rhinotomy, medial paracanthal, Ushaped dorsal incision, external rhinoplasty, degloving procedure, transglabellar incision, brow incision, bicoronal incision and endoscopic. [4] We discuss in this article our experience with patient with nasal dermoid.