Sublingual epidermoid cysts are rare benign lesions derived from ectodermal tissue, typically located beneath the tongue or the floor of the mouth. While often asymptomatic, these cysts can grow and cause discomfort or complications, making accurate diagnosis and appropriate treatment crucial. We present the case of a 6-year-old Indian girl diagnosed with an implantation keratinized sublingual epidermoid cyst, initially misidentified as a plunging ranula. The cyst caused significant discomfort, prompting further investigation and treatment. A comprehensive review of cases reported in PubMed highlights the characteristics, aetiology, symptoms, diagnostic challenges, complications, treatment options, and prognosis associated with sublingual epidermoid cysts. This review contributes to the understanding of these uncommon lesions, providing insights into their management and the importance of accurate diagnosis.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11890669PMC
http://dx.doi.org/10.1007/s12070-024-05212-7DOI Listing

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Sublingual epidermoid cysts are rare benign lesions derived from ectodermal tissue, typically located beneath the tongue or the floor of the mouth. While often asymptomatic, these cysts can grow and cause discomfort or complications, making accurate diagnosis and appropriate treatment crucial. We present the case of a 6-year-old Indian girl diagnosed with an implantation keratinized sublingual epidermoid cyst, initially misidentified as a plunging ranula.

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Pediatric Sublingual Dermoid Cyst: Diagnostic Challenges and Surgical Management in a 13-Year-Old Boy.

Am J Case Rep

December 2024

Department of Pediatric Otolaryngology, Head and Neck Surgery, Chair of Pediatric Surgery, Medical University of Silesia (SUM), Katowice, Poland.

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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Dermoid cysts in the floor of the mouth are a relatively rare and unusual site of location anomalies presumed to be caused by entrapment of germinal epithelium along the lines of embryonic fusion. It presents as soft, non-painful, and slowly growing swelling along the lines of fusion during the closure of mandibular and hyoid branch arches. These cysts are developmental and histopathologically classified into three types: epidermoid, dermoid, and teratoid.

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Key Clinical Message: When treating a painless or asymptomatic mass in the submental or floor of the mouth, sublingual epidermoid cyst should be considered. Despite its irregularity, preventing malignant transformation is essential for a successful outcome.

Abstract: Dermoid and epidermoid cysts are rarely found in the head and neck region.

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(1) Background: Dermoid cysts occurring in the sublingual space are uncommon, typically manifesting as painless, gradually enlarging masses, usually not exceeding 3 cm in diameter. These cysts can resemble various conditions due to their clinical presentation, with a relatively low occurrence rate in the oral cavity, accounting for about 1.6% of all dermoid cysts.

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