Midline nasal dermoid cysts are congenital lesions resulting from aber
rant embryological development. Accurate diagnosis and effective treat
ment are essential to avoid craniofacial skeletal deformations, cyst r
upture, and infection that could cause cutaneous, ocular, or intracran
ial complications. We report an unusual case of congenital midline nas
al dermoid cysts in which an 18-month-old child presented to a hospita
l emergency department with periorbital cellulitis. It resulted from m
ultiple midline nasal dermoid cysts involving the nasal, forehead, and
both orbital regions but without intracranial extension. The patient
was successfully managed with a craniofacial approach.