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Pilar Cyst From a Maxillofacial Surgeon's Perspective: A Case Report and Review of Literature. | LitMetric

AI Article Synopsis

  • Pilar cysts, also known as trichilemmal cysts, are benign growths from hair follicle tissue, commonly found on the scalp but can also arise in the head and neck area.
  • A case is reported involving a 75-year-old male who presented with facial swelling caused by an infected pilar cyst in the left temporal region, demonstrated through CT imaging and confirmed by biopsy.
  • These cysts can resemble infections in the temporal space, which highlights the importance of proper diagnosis to avoid mismanagement in treatment.

Article Abstract

Pilar cysts/trichilemmal cysts are benign lesions that arise from the hair follicle epithelium. The commonest area of occurrence is the scalp but it can also occur in the head and neck region. The pilar cyst grows at a prolonged rate. They are relatively rare and occur in about 10% of the population. They appear in the region of high concentrations of hair follicles. A 75-year-old male patient came to the Department of Oral and Maxillofacial Surgery with a chief complaint of swelling on the left side of the face for the past one year. Cytological examination revealed an infected cystic lesion. Computed tomography (CT) showed a well-defined lesion in the left temporal region. After surgical excision of the lesion, it was sent for histopathological examination. Excisional biopsy revealed a pilar cyst. We report a rare case of pilar cyst in the left temporal region in a patient who was previously operated on for osteomyelitis of the left side of the mandible up to the coronoid process. These cysts may mimic temporal space infection and lead to an incorrect treatment plan.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10238167PMC
http://dx.doi.org/10.7759/cureus.38508DOI Listing

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