AI Article Synopsis
- Dermoid and epidermoid cysts are benign tumors that form from misplaced primordial tissue and usually grow slowly in the orbit, often affecting eye movement and potentially compressing the optical nerve.
- A case is presented of a child with a growing congenital dermoid cyst in the upper-nasal quadrant, which was successfully removed through surgery with no complications.
- Prior to surgery, thorough diagnostic imaging is essential to assess the cyst's size and potential impact on surrounding structures, especially when causing eye pressure or movement issues.
Article Abstract
Introduction: Dermoid and epidermoid cysts of the orbit belong to choristomas, tumours that originate from the aberrant primordial tissue. Clinically, they manifest as cystic movable formations mostly localized in the upper temporal quadrant of the orbit. They are described as both superficial and deep formations with most frequently slow intermittent growth. Apart from aesthetic effects, during their growth, dermoid and epidermoid cysts can cause disturbances in the eye motility, and in rare cases, also an optical nerve compression syndrome.
Case Outline: In this paper, we described a child with a congenital orbital dermoid cyst localized in the upper-nasal quadrant that was showing signs of a gradual enlargement and progression. The computerized tomography revealed a cyst of 1.5-2.0 cm in size. At the Maxillofacial Surgery Hospital in Nis, the dermoid cyst was extirpated in toto after orbitotomy performed by superciliary approach. Postoperative course was uneventful, without inflammation signs, and after two weeks excellent functional and aesthetic effects were achieved.
Conclusion: Before the decision to treat the dermoid and epidermoid cysts operatively, a detailed diagnostic procedure was necessary to be done in order to locate the cyst precisely and determine its size and possible propagation into the surrounding periorbital structures. Apart from cosmetic indications, operative procedures are recommended in the case of cysts with constant progressions, which cause the pressure to the eye lobe, lead to motility disturbances and indirectly compress the optical nerve and branches of the cranial nerves III, IV and VI.
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| http://dx.doi.org/10.2298/sarh1012755v | DOI Listing |
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Article Synopsis
- Ranulas are commonly thought to be sublingual cysts in children, but in this case, a 13-year-old boy was found to have a rare dermoid cyst instead, which is less than 0.01% of oral lesions.
- The boy presented with significant symptoms including swelling under the tongue, speech issues, and difficulty eating, prompting surgical excision of the cyst.
- The case emphasizes the need for accurate diagnosis through histopathology and imaging techniques, as dermoid cysts can be mistaken for ranulas.
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