Maxillofacial computed tomography revealed a soft-tissue mass involving the midline nasal bridge and causing mild mass effect on the bilateral frontoethmoidal recesses. Fat density measurement was consistent with a dermoid cyst. Magnetic resonance imaging revealed no definite intracranial or intraorbital extension. The patient was referred to the ear, nose and throat department, where a combined open and endoscopic rhinoplasty was performed. Histopathological examination of the surgical specimen revealed a cyst filled with keratinous debris and lined by a stratified squamous epithelium with a granular layer and associated pilosebaceous structures. The patient recovered fully from surgery.