Question: The parents of a 10 month old ex-32 week premature infant notice a tiny pit on the dorsum of the baby’s nose. At 6 months of age there was an episode of drainage with some swelling around the pit. There is no history of prior surgery or trauma, and the child is otherwise well and thriving. What is the next step in workup and management?

a) Ellipse out skin around pit and close primarily

b) Nasal endoscopy

c) MRI of the facial skeleton and brain

d) Observation

[Answer will be posted with next week's new question]

Answer to last week's question, “In the Eye of the Beholder” (February 15, 2021)

D - Measurement of intraocular pressure and CT scan