Nasal dermoid cyst excision with a lateral rhinotomy approach through the nasal alar sulcus

Objective Transoral surgery is becoming a preferred technique because it does not leave any scar after surgery. However, transoral surgery for a dermoid cyst of the oral cavity is not standardized yet, due to the anatomic complexity of this region. The aim of this study was to evaluate the safety and efficacy of a transoral dermoid cyst excision. Study Design Multicenter prospective observational study. Setting University hospital. Subjects and Methods This study was designed as a 4-year prospective multicenter evaluation of dermoid cyst excisions within the floor of mouth. Clinical outcomes and complications related to procedures were evaluated among patients. The primary outcome was the efficacy of the procedure, and the secondary outcome was cosmetic satisfaction of each procedure. Results Twenty-one patients underwent transoral dermoid cyst excisions, and 22 underwent transcervical excisions. In the transoral surgery group, the mean size of the dermoid cyst was 5.35 cm (95% CI, 4.79-5.91), and in the transcervical surgery group, it was 6.19 cm (95% CI, 5.67-6.71). There was no significant differences with respect to overall demographic characteristics between the groups. However, the duration of the operation was shorter with the transoral group than with the transcervical group ( P = .001), and cosmetic satisfaction was much better in the transoral group ( P < .001). Conclusion Transoral dermoid cyst excision is a potentially safe and effective method that can lead to easy and quick removal of an oral cavity dermoid cyst, with excellent cosmetic outcomes.

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Refinement in Technique for Pediatric Dermoid Cyst Excision: Technical Note

Plastic & Reconstructive Surgery ◽

10.1097/prs.0b013e3181858b80 ◽

2008 ◽

Vol 122 (4) ◽

pp. 1059-1061 ◽

Cited By ~ 6

Author(s):

Su-Shin Lee ◽

John A. Persing

Keyword(s):

Dermoid Cyst ◽

Technical Note ◽

Cyst Excision

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Nasal dermoid cysts with intracranial extension: avoiding coronal incision through midline exposure and nasal bone osteotomy

Journal of Neurosurgery Pediatrics ◽

10.3171/2019.9.peds19132 ◽

2020 ◽

Vol 25 (3) ◽

pp. 298-304

Author(s):

Chad A. Purnell ◽

Rachel Skladman ◽

Tord D. Alden ◽

Julia F. Corcoran ◽

Jeffrey C. Rastatter

Keyword(s):

Blood Loss ◽

Dermoid Cyst ◽

Demographic Data ◽

Nasal Bone ◽

Direct Access ◽

Intracranial Extension ◽

Transfusion Rate ◽

Cyst Excision ◽

The Mean ◽

Coronal Incision

OBJECTIVEUp to 10% of midline nasal dermoid cysts have intracranial extension. Previous techniques of excision include frontal and frontonasal craniotomies via a coronal approach, combined with a direct cutaneous excision of the dermoid cyst. While the coronal incision allows for wide visualization, it carries significant risks of transfusion, blood loss, and scarring. The authors present an alternative technique in which access is gained through a midline extension of the dermoid cyst excision that provides direct access for a keyhole frontal craniotomy.METHODSThe authors utilize a nasal bone osteotomy, pericranial flap, and keyhole-type craniotomy performed through a nasal midline incision for the treatment of nasal dermoid cysts with intracranial extension. They performed a retrospective chart review of all patients with nasal dermoid cysts treated at the Ann & Robert H. Lurie Children’s Hospital of Chicago from 2009 to 2017. Patient demographic data, operative data, and in- and outpatient complication data were collected.RESULTSIn 10 patients with cyst extension near or into the intracranial cavity (7 with true intracranial extension), the nasal osteotomy technique was performed. The mean blood loss was 13 ml, with a 0% transfusion rate. The mean length of inpatient stay was 1 day. A durotomy was made and repaired as part of the dermoid cyst dissection in 3 patients. One patient underwent intraoperative placement of a lumbar drain. The mean operative time was 228 minutes. There were no intraoperative or postoperative complications, including the need for a reoperation. No patients had any long-term complications, and no patients have had dermoid cyst recurrence. The appearance of the scar was acceptable in all cases.CONCLUSIONSThe midline approach to nasal dermoid cysts with intracranial extension is safe and results in limited blood loss, short operative times, and short lengths of inpatient hospital stay. This is a viable technique for the treatment of this challenging pathology.

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Anaesthetic Management of a Large Sublingual Dermoid Cyst Excision in a 2 Year Old Child

Indian Journal Of Applied Research ◽

10.15373/2249555x/june2013/143 ◽

2011 ◽

Vol 3 (6) ◽

pp. 430-432 ◽

Cited By ~ 1

Author(s):

Dr. Seema Karhade ◽

◽

Dr. Adnanali Sarkar ◽

Dr. Shalini Thombre

Keyword(s):

Dermoid Cyst ◽

Anaesthetic Management ◽

Cyst Excision

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Comparison of superior eyelid incision and directly over the lesion incision to brow dermoid cyst excision

European Journal of Plastic Surgery ◽

10.1007/s00238-008-0314-3 ◽

2008 ◽

Vol 32 (2) ◽

pp. 83-85 ◽

Cited By ~ 5

Author(s):

Rüştü Köse ◽

M. Ihsan Okur

Keyword(s):

Dermoid Cyst ◽

Cyst Excision

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A rare presentation of orbital dermoid: A case study

International Journal of Clinical and Experimental Ophthalmology ◽

10.29328/journal.ijceo.1001037 ◽

2021 ◽

Vol 5 (2) ◽

pp. 016-018

Author(s):

Girimallanavar Sheetal V ◽

Channabasappa Seema ◽

Aluri Balasubrahmanyam ◽

Cyriac Divya Rose ◽

Jose Aiswarya Ann

Keyword(s):

Dermoid Cyst ◽

Surgical Excision ◽

Needle Aspiration ◽

Rare Presentation ◽

Cyst Excision ◽

Lacrimal System ◽

Complete Surgical Excision ◽

Silicone Intubation ◽

Needle Aspiration Cytology

Introduction: A dermoid cyst is a developmental choristoma lined with epithelium and filled with keratinized material arising from ectodermal rests pinched off at suture lines. These are the most common orbital tumors in childhood. They are categorized into superficial and deep. Superficial orbital dermoid tumors usually occur in the area of the lateral brow adjacent to the frontozygomatic suture. Infrequently a tumor may be encountered in the medial canthal area [1], which is the second most common site of orbital dermoids. We report a case where a swelling presented in the medial canthal area without involving the lacrimal system. Case report: A 43 year old lady presented with complaint of swelling near the (RE; Right eye) since 2 years duration. She presented with a solitary 1.5 cm x 1 cm ovoid, non-tender, non-pulsatile, firm, non-compressible mobile swelling with smooth surface over the medial canthus of right eye. (MRI; Magnetic Resonance Imaging) brain and orbit showed right periorbital extraconal lesion and the (FNAC; Fine Needle Aspiration Cytology) suggested of Dermoid Cyst. RE canthal dermoid cyst excision was done under Local Anasthesia. Conclusion: Complete surgical excision in to be treatment of choice for dermoids. Since medial canthal mass can involve the lacrimal system, it becomes necessary to perform preoperative assessments using (CT; Computed Tomography), MRI or dacryocystography while planning the surgical approach. Silicone intubation at the beginning of the surgery is an easy and effective way of identifying canaliculi and of preventing canalicular laceration during dermoid excision if the lacrimal system is found to be involved.

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The ideal approach of ovarian dermoid cyst excision; the predicament of laparoscopy versus laparotomy

Obstetrics & Gynecology International Journal ◽

10.15406/ogij.2021.12.00578 ◽

2021 ◽

Vol 12 (4) ◽

pp. 205-210

Author(s):

Kamil Mosa Fram ◽

Shawqi S Saleh ◽

Nadia A Muhaidat ◽

Farah K Fram ◽

Rand K Fram ◽

...

Keyword(s):

Dermoid Cyst ◽

Abdominal Mass ◽

Laparoscopic Group ◽

University Hospital ◽

Management Approach ◽

Related Factors ◽

Cyst Excision ◽

Ovarian Cystectomy ◽

Gynecology And Obstetrics ◽

Management Procedure

Purpose: The aim of the current retrospective study for reviewing the cases of dermoid cyst managed at our hospital during the study period, to find out the best and safest management approach after taking in consideration the related factors. Setting: This analysis took place at the department of Gynecology and Obstetrics at Jordan University Hospital. Material and methods: The retrospective records were reviewed for over 6 years (from January 2015 to January 2021). The sample of study included a total number of 87 patients operated with ovarian dermoid. Thirty-five patients (40.22%) presented with abdominal mass, 16 patients (18.39%) were accidently found to have this kind of ovarian cysts, 12 patients (13.79%) presented with pressure symptoms, 11 patients (12.64%) presented with dyspareunia and dysmenorrhea, 8 patients (09.19%) with abdominal pain, and 5 patients (05.74%) with recurrent attacks of nausea. Thirty-nine patients (44.83%) treated by laparotomy, another 39 patients (44.83%), the management procedure completed laparoscopically, and 9 patients (10.34%), the procedure started laparoscopically, then converted to laparotomy. Sixty-one patients (70.11%) were found to have right sided ovarian dermoid, while 19 patients (21.84%) were found to have bilateral, and 7 patients (08.05%) were found to have left sided one. The size of the cyst was more than 11 cm in 40 patients (45.98%), while less than 5 cm in 5 patients (5.75%). Results: ovarian cystectomy performed in 70 patients (80.46%), and salpingo-oophorectomy on 17 patients (19.54%) on both reproductive and postmenopausal group. The average blood loss and operative time were more on the laparoscopic group; 298.7 ml, 98.8 minutes respectively. Conclusion: Laparotomy and ovarian cystectomy seems to be superior to other methods of management for ovarian dermoid, particularly when the size of the cyst is more than 5 cm, and predominantly the cysts presentation bilaterally.

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Dermoid cyst of the oral cavity: A case report

Medicinski pregled ◽

10.2298/mpns1812409d ◽

2018 ◽

Vol 71 (11-12) ◽

pp. 409-412

Author(s):

Milovan Dimitrijevic ◽

Ana Dimitrijevic ◽

Ivan Boricic ◽

Petar Djurkovic

Keyword(s):

Magnetic Resonance Imaging ◽

Case Report ◽

Magnetic Resonance ◽

Oral Cavity ◽

Dermoid Cyst ◽

Complete Information ◽

The Body ◽

Resonance Imaging ◽

Lateral Aspect ◽

Cyst Excision

Introduction. Dermoid cysts are benign developmental skin growths that can occur in any part of the body. Dermoid cysts of the head and neck account for 7% of all cysts, and are most frequently located near the lateral aspect of the eyebrow. They are rarely found in the oral cavity, accounting for 0.01% of all oral cavity cysts. Case Report. A 15-years-old patient was referred to our Clinic due to a growth in the mouth. Clinical examination and magnetic resonance imaging showed a clearly demarcated, oval, cystic growth in the midline sublingual region. Intraoral incision, typical for frenectomy, with cyst excision was performed. Histopathological findings suggested a dermoid cyst. Conclusion. Dermoid cysts of the oral cavity are very rare; they grow slowly and when they reach certain dimensions, they interfere with chewing, swallowing, and lead to progressive breathing difficulty. Dermoid cysts should be included in the differential diagnosis of sublingual mass. Magnetic resonance imaging provides complete information about the localization, size, and content of the growth and contributes significantly to the decision on the surgical approach.

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