scholarly journals Surgical treatment of a cranio-facial dermoid cyst

2018 ◽  
Vol 146 (3-4) ◽  
pp. 197-199
Author(s):  
Nenad Zivkovic ◽  
Vuk Aleksic
Keyword(s):  
Surgical Treatment ◽  
Dermoid Cyst ◽  
Intracranial Extension ◽  
Subcutaneous Mass ◽  
Histopathologic Analysis

Introduction. Intracranial extension is rarely seen with craniofacial dermoid cysts, with few cases reported in the literature. Case Outline. We report a case of a 30-year-old woman who was initially seen with a subcutaneous mass of the frontotemporal region. The patient underwent a right craniotomy by a frontal approach. Histopathologic analysis confirmed the diagnosis of a dermoid cyst. Conclusion. Craniofacial dermoid cysts may be associated with an intracranial extension.

INTRACRANIAL COMPLICATIONS OF CONGENITAL DERMAL SINUSES

PEDIATRICS ◽  
1951 ◽  
Vol 8 (4) ◽  
pp. 463-474
Author(s):  
DONALD D. MATSON ◽  
FRANC D. INGRAHAM
Keyword(s):  
Surgical Treatment ◽  
Intracranial Extension ◽  
Dermal Sinus ◽  
Skull Defect ◽  
Complete Cure ◽  
Neural Axis ◽  
Intracranial Complications ◽  
Subcutaneous Mass ◽  
Sinus Opening ◽  
Congenital Dermal Sinus

Ten patients are presented in whom intracranial extension of a congenital dermal sinus was disclosed by operation. The complications of this lesion include infection in the form of meningitis, abscess formation and osteomyelitis as well as hydrocephalus due to obstruction of the spinal fluid pathways. In unexplained meningitis, the entire midline area of skin over the neural axis should be examined carefully for evidence of a dermal sinus opening. Whenever a dimple or subcutaneous mass is found in the midline of the scalp, RGs should be examined carefully for an underlying skull defect. When such a defect exists, intracranial exploration is indicated. Surgical treatment previous to development of intracranial infection is relatively simple and should be rewarded by complete cure. Excision after infection has occurred is difficult and the results in this group have been poor.

Prevotella melaninogenica Meningitis and Abscess: A Complication of the Removal of a Midline Dermoid Cyst

2018 ◽  
Vol 15 (03) ◽  
pp. 152-154
Author(s):  
Megan B. Garcia ◽  
Anjali N. Kunz
Keyword(s):  
Dermoid Cyst ◽  
Bacterial Infections ◽  
Surgical Excision ◽  
Sinus Tract ◽  
Neural Tube Closure ◽  
Intracranial Extension ◽  
Dermal Sinus ◽  
Oral Flora ◽  
Prevotella Melaninogenica ◽  
Dermal Sinus Tract

Abstract Prevotella species are gram-negative anaerobic commensal bacteria of the oropharynx, which frequently cause periodontal disease but are otherwise rarely implicated in serious bacterial infections. Cranial dermoid cysts are benign neoplasms that grow along the planes of the embryonic neural tube closure. In infants, they most commonly present in frontal locations, including periorbital, nasal, and within the anterior fontanelle. Although dermoid cysts are slow growing, usually uncomplicated, and easily treated definitively with surgical excision, cranial cysts located on the midline are associated with a higher risk for persistent dermal sinus tract with intracranial extension of the tumor. We describe a case of a 10-month-old male patient with an occipital midline dermoid cyst with intracranial extension, infected with Prevotella melaninogenica, and complicated by intracranial abscess formation and meningitis.This case highlights two unusual disease entities: the uncommon occipital location of a dermoid cyst, and complications of that cyst caused by a serious bacterial infection with a normal oral flora. We discuss the recommendation for neuroimaging prior to surgical excision of a midline dermoid cyst, given the risk for dermal sinus tract with intracranial communication. We also discuss potential mechanisms for bacterial inoculation of this cyst with Prevotella melaninogenica. This pathogen has not previously been reported as a complication of dermoid cysts.

SURGICAL TREATMENT OF EXTENSIVE INTRAORAL DERMOID CYST: CASE REPORT

2020 ◽  
Vol 130 (3) ◽  
pp. e229
Author(s):  
KAIO FEITOSA NOBRE ◽  
ISABELLE FONTENELE MAGNO ◽  
THâMARA MANOELA MARINHO BEZERRA ◽  
ROBERTA BARROSO CAVALCANTE ◽  
EVELINE TURATTI ◽  
...  
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Dermoid Cyst

An Update on the Surgical Treatment of Temporal Bone Paraganglioma

2000 ◽  
Vol 13 (1_suppl) ◽  
pp. 179-188
Author(s):  
Kris S. Moe ◽  
Daqing Li ◽  
Thomas E. Linder ◽  
Stephan Schmid ◽  
Ugo Fisch
Keyword(s):  
Surgical Treatment ◽  
Temporal Bone ◽  
Surgical Resection ◽  
Infratemporal Fossa ◽  
Cranial Nerves ◽  
Disease Free Survival ◽  
Current Therapy ◽  
Intracranial Extension ◽  
Tumor Excision ◽  
Intradural Tumor

In 1982, Fisch described his results for the surgical treatment of 74 paragangliomas of the temporal bone, 5 years after his description of the infratemporal fossa approaches (types A and B). This study reviews the subsequent experience of the Department of Otolaryngology—Head and Neck Surgery of the University of Zürich with more than 136 surgically treated cases of paraganglioma of the temporal bone and discusses our current therapy 20 years after the initial description. One hundred nineteen (90%) of the patients had advanced tumors (Fisch class C or C+D), and 81 (68%) had intracranial extension. Total tumor excision was possible in 109 (82%) patients. Subtotal excision was performed in 22 (17%) patients, 21 of whom had intradural tumor invasion. In these cases, the resection was limited not by actual tumor size but by the degree of intracranial intradural tumor extension. Partial tumor excision was undertaken in only 1 patient with a C4De2Di2 tumor. The success rate in preservation of function of the lower cranial nerves was encouraging. Of the 69 patients whose facial nerve status was followed postoperatively, 81% maintained Fisch grade 76 to 100% (House-Brackman grades I and II). Analysis of follow-up data ranging from 2 to 11 years demonstrated 98% disease-free survival when total tumor extirpation was possible. In the patients who underwent subtotal or partial surgical resection there has been no subsequent tumor growth detected by either clinical or neuroradiological evaluation. We have confirmed after more than 20 years of experience that the infratemporal fossa approaches are a safe, highly effective means of surgical management of paragangliomas of the temporal bone, allowing eradication or arrest of disease with minimal morbidity. Limited intradural surgical resection in cases of very extensive tumors can greatly benefit patients for whom complete excision is not an option.

Intramedullary inclusion cysts of the cervicothoracic junction

2007 ◽  
Vol 7 (2) ◽  
pp. 236-242 ◽  
Author(s):  
Alfred T. Ogden ◽  
Alexander G. Khandji ◽  
Paul C. McCormick ◽  
Michael G. Kaiser
Keyword(s):  
Spinal Cord ◽  
Case Report ◽  
Surgical Treatment ◽  
Dermoid Cyst ◽  
Clinical Features ◽  
Epidermoid Cyst ◽  
Relevant Literature ◽  
Literature Discussion ◽  
Cervicothoracic Junction

✓Intramedullary inclusion cysts are extremely rare within the rostral spinal cord. In this case report the authors outline the clinical features and surgical treatment of one dermoid cyst and one epidermoid cyst of the cervicothoracic junction. The authors also include a relevant literature discussion regarding the treatment and the embryological origin of these lesions.

scholarly journals ORBITA İÇINE UZANAN DUMBBELL (HALTER) DERMOID KIST VE CERRAHI TEDAVISI: OLGU SUNUMU /SURGICAL TREATMENT OF DUMBBELL DERMOID CYST EXTENDING INTO ORBITA: A CASE REPORT

2016 ◽  
Vol 38 (0) ◽  
Author(s):  
Gönül Güvenç ◽  
Ceren Kızmazoğlu ◽  
Hasan Emre Aydın ◽  
Murat Sayın ◽  
Nurullah Yüceer
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Dermoid Cyst

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

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.

scholarly journals Craniofacial dermoid cyst: a case report

2019 ◽  
Vol 5 (3) ◽  
pp. 785
Author(s):  
Morad Faoury ◽  
Stefan Mitrasinovic ◽  
William Hellier ◽  
Nijaguna Mathad ◽  
Madanagopalan Ethunandan
Keyword(s):  
Dermoid Cyst ◽  
Frontal Bone ◽  
Intracranial Extension ◽  
Imaging Features ◽  
Resonance Imaging ◽  
Referral Centre ◽  
Tertiary Referral ◽  
Tertiary Referral Centre ◽  
Soft Tissue Swelling ◽  
Definitive Management

<p class="abstract">We describe a case of a craniofacial dermoid cyst in a 16-month boy treated at our tertiary referral centre. The patient presented with a soft tissue swelling in the mid forehead extending down to the glabella. Computed tomography and magnetic resonance imaging scans demonstrated a peripherally enhancing cystic lesion with a defect in the underlying frontal bone. The clinical and imaging features were suggestive of a dermoid cyst with intracranial extension. The cyst became infected pre-operatively and this episode was managed by aspiration and antibiotics. Definitive management was by excision of the extra and intra-cranial components of the lesion via a bifrontal craniotomy. The presentation, investigations and management of this lesion is discussed.</p>

scholarly journals Dermoid Cyst in the Anterior Fontanel: Case Report

2021 ◽  
Author(s):  
Lisvette Ochoa Gómez ◽  
Olga Lidia Rodríguez Infanzón ◽  
Walquiris Concepción Parra ◽  
Leonardo Camejo Roviralta ◽  
Gisela Eduarda Feria Díaz ◽  
...  
Keyword(s):  
Case Report ◽  
Dermoid Cyst ◽  
Intracranial Extension ◽  
Epithelial Tissue ◽  
Anterior Fontanelle ◽  
Anterior Fontanel ◽  
Nmr Studies ◽  
Palabras Clave ◽  
Histopathological Studies

Introduction: Dermoid cysts in the anterior fontanel are rare lesions, problems around 0.1–0.5% of all cranial tumors. It originated during the early stages of development and derived from embryonic epithelial tissue located along the midline. CT and NMR studies are of choice to rule out intracranial extension. They are diagnosed and treated with surgery in childhood. In this article, a review of the literature on this pathology is performed and a clinical case is reported in order to show the results of imaging studies in the Dermoid Cyst in childhood. Case Presentation: Four-month-old female infant with Dermoid Cyst in the Anterior Fontanelle, without neurological compromise who was once a surgery. The surgical piece affected uniform, encapsulated, mobile, soft lesion with clear content. The obstetric history, clinical data, physical examination, imaging and histopathological studies confirmed the diagnosis of Dermoid Cyst, the patient’s postoperative evolution is satisfactory, currently undergoing follow-up by Neuropediatrics. Conclusion: in simple pediatric patients with Dermoid Cyst in the anterior Fontanelle, simple Computerized Axial Skull Tomography is very useful for its diagnosis, as well as the performance of surgical treatment and postoperative follow- up for a favorable evolution and better prognosis. Keywords: dermoid cyst, anterior fontanelle, congenital inclusion cyst, case report. RESUMEN Introducción: La frecuencia de presentación del Quiste Dermoide en fontanela anterior es muy baja y se desarrollan en la etapa embrionaria de la vida en la que el tejido embrionario de la línea media dá lugar a su formación. Los estudios de TAC y RMN son de elección para descartar la extensión intracraneal. Se diagnostican y tratan con cirugía en la niñez. En este artículo se realiza una revisión de la literatura sobre esta patología y se relata un caso clínico con el objetivo de mostrar los resultados de estudios imagenológicos en el Quiste Dermoide en la infancia. Presentación de Caso: Lactante femenina de cuatro meses con Quiste Dermoide de la fontanela anterior sin complicaciones fue intervenida quirúrgicamente. Se realizó excéresis de lesión blanda, encapsulada y movible. Los antecedentes obstétricos, datos clínicos, examen físico, estudios imagenológicos e histopatológico confirmaron el diagnóstico de Quiste tipo Dermoide, la evolución posoperatoria de la paciente es satisfactoria, actualmente en seguimiento por Neuropediatría. Conclusiones: En pacientes pediátricos con Quiste Dermoide en la Fontanela anterior es de gran utilidad la Tomografía Axial Computarizada simple de Cráneo para su diagnóstico, así como, la realización de un tratamiento quirúrgico y el seguimiento postoperatorio para una favorable evolución y mejor pronóstico. Palabras clave: quiste dermoide, fontanela anterior, quiste de inclusión congénita, informe de caso.

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