scholarly journals Internal Angular Dermoid Indenting on the Globe

Author(s):  
Suwarna Suman ◽  
Hemant Uttamrao Rathod ◽  
Arushi Kumar ◽  
Virendra K. Pal

Angular dermoid cysts are common periorbital tumours in children. They are tumours of embryonic origin that arise along bony sutures as a result of abnormal ectodermal sequestration during development. Angular dermoid cysts usually present in early childhood, are characteristically small benign and slow growing lesion. External angular dermoid present in the superotemporal quadrant is more common compared to internal angular dermoid in the superonasal quadrant. Early surgical excision is recommended and performed in the majority of cases, particularly to restore facial cosmesis. Here we report an unusual case of a large internal angular dermoid cyst indenting the globe in a 3-year-old girl presented with left upper eyelid mass at medial angle since one year of age. The cyst was excised completely by anterior orbitotomy through a small superior lid crease incision.

Author(s):  
ASHWIN V ◽  
ANBUMANI p ◽  
PALLAVI UDDHAV .NARWADE

A one year old female patient was brought with a chief complaint of localized pain and a slow growing swelling with relation to the left eye region which was diagnosed as dermoid cyst involving the supraorbital rim. Complete surgical excision was done and postoperative follow up revealed resolution of symptoms along with aesthetic healing of surgical scar. Key Words : Dermoid cyst– Periorbital region– excision– cortical expansion


Author(s):  
Sweta Shrestha ◽  
Shaili Pradhan ◽  
Ranjita Shrestha Gorkhali

Lipomas are benign tumours of mesenchymal origin (mature adipocytes) that are comparatively uncommon in the oral cavity corresponding to less than 4.4% of all benign oral soft tissue tumors. Clinically, they present as slow growing, soft, asymptomatic masses. Histopathologically, they appear as thinly encapsulated lesion composed of mature adipocytes with inconspicuous vascularity. The pathogenetic mechanisms of oral lipomas are still unclear. They are usually treated by surgical excision and bear excellent prognosis. Here we report a case of intraoral lipoma in 54 year old male patient in the left lower lingual alveolar mucosal region that was treated by surgical excision using electrocautery without any postsurgical complication. One-year follow-up showed no evidence of recurrence.


2018 ◽  
Vol 31 (11) ◽  
pp. 693 ◽  
Author(s):  
Suleyman Utku Celik ◽  
Ilkin Hesimov ◽  
Burak Kutlu ◽  
Ayhan Bulent Erkek

Aggressive angiomyxoma is an uncommon, benign, slow-growing, and locally infiltrative soft tissue neoplasm which is located primarily in the genital region and pelviperineal interstitial tissue of female patient in the fourth decade of life. Its occurrence in male patients is even more unusual and commonly appears at a later age. The mainstay of treatment typically involves surgical excision with tumor-free margins, and despite complete resection, local recurrences are common. Here, an unusual case of aggressive angiomyxoma occurring in the pelvic region of a 55-year-old man and its treatment is discussed due to its rarity.


2021 ◽  
Vol 2 (1) ◽  
pp. 149-155
Author(s):  
Maria C. Michali ◽  
Lentiona V. Basiari ◽  
Konstantina Ζ. Mparka ◽  
Ioannis D. Komnos

Introduction: Pleomorphic adenomas are the most common non-malignant neoplasms of salivary gland tumours that present mixed histopathological patterns. The purpose of our study was to report an unusual case of a pleomorphic adenoma which was located in the upper lip that had been initially considered as cyst. Case report: The patient was a middle aged man who had a painless, slow-growing swelling in the upper lip. At first, the round-shaped and mobile mass was considered as cystic lesion. However during the operation, it was discovered instead of a cyst, an encapsulated solid tumour that demonstrated both epithelial and mesenchymal cells in histopathology and the diagnosis of pleomorphic adenoma was set. One year postoperatively the patient had no recurrence of tumour. Conclusions: Occurrence of intraoral lip swelling could be attributed, even rarely, to benign mixed tumours. Despite its nonmalignant features, these masses have a relatively low but still existing risk for recurrence or malignant transformation and thus in similar cases a systematic follow-up should be performed even years after surgery.


2015 ◽  
Vol 16 (2) ◽  
pp. 203-206 ◽  
Author(s):  
David Krahulík ◽  
Marta Karhanová ◽  
Miroslav Vaverka ◽  
Světlana Brychtová ◽  
Dagmar Pospíšilová

Ectopic cilia are extremely rare congenital anomalies in which eyelash follicles appear in an abnormal place on the eyelid, most typically on the lateral quadrant of the anterior surface of the upper eyelid. In the majority of cases, simple surgical excision of ectopic cilia is indicated because of its cosmetic aspect. There is usually no associated medical co-morbidity with this anomaly. The authors report an unusual case of ectopic cilia associated with an orbital dermoid cyst and sinus tract. A 3-year-old boy was initially diagnosed with ectopic cilia on the left upper eyelid. There was no history of inflammation or swelling of the eyelid. An ophthalmological examination revealed only 1 mm of ptosis; no proptosis, inferior displacement, or palpable orbital mass was present. During surgical excision of the ectopic cilia, a thin sinus tract was identified, leading posteriorly to the orbit. Magnetic resonance imaging performed after the excision showed a supraorbital extraconal mass just below the roof of the left orbit. A supraorbital 2-piece craniotomy was performed with total extirpation of the dermoid cyst. The cyst was removed en bloc without damage to the extraocular muscles, but the sinus tract could no longer be identified. Follow-up MRI was performed 6 months after surgery and showed no evidence of recurrence. A follow-up ophthalmological examination showed no signs of inferior displacement or proptosis. To the best of the authors’ knowledge, this case is the first reported instance of ectopic cilia associated with a dermoid cyst and sinus tract in which no typical clinical signs and symptoms of possible orbital pathology were present. This case highlights the value of radiological examination in all cases of ectopic cilia prior to surgical excision.


2016 ◽  
Vol 19 (4) ◽  
pp. 110
Author(s):  
Pavan Kumar Gujjar ◽  
Treville Pereira ◽  
Jyoti Zingade

<p>Dermoid and epidermoid cysts which belong to choristomas, usually manifest clinically as superficial and deep cystic movable formations, most often with a slow and intermittent growth. In the present article we report a case of an external angular dermoid cyst in a 13-year-old boy, the growth of which was steady on progression. Surgical excision of the cyst was done by approaching through an external sub-brow incision. Dermoid cysts are unusual neoplasms that often seen in children with the most commonly affected site being the orbit in the head and neck region. Such cysts may cause compression to the eye lobe and the optic nerve. Hence, operative procedures may be suggested in the case of such cysts which have a constant progression. </p><p>Keywords: Choristoma; Dermoid; Sub-brow incision.</p>


2000 ◽  
Vol 114 (2) ◽  
pp. 151-153 ◽  
Author(s):  
Victor Chrobok ◽  
Petr Celakovsky ◽  
David Nunez-Fernandez ◽  
Eva Simakova

An unusual case of acute purulent thyroiditis in a 45-year-old man forming a large abscess in the left lobe of the thyroid gland is described. It perforated the capsule at the posterior wall of the thyroid, causing extensive retropharyngeal and retrotracheal abscesses. The patient was treated with broad-spectrum antibiotics and surgical excision of the infected tissues. He has remained well one year after the operation.


2017 ◽  
Vol 145 (11-12) ◽  
pp. 639-642
Author(s):  
Vinícius Muniz ◽  
Pauline Cardoso ◽  
de Fernandes ◽  
Leonardo Melo ◽  
Bráulio Carneiro ◽  
...  

Introduction. Myoepithelioma primarily affects the parotid gland and usually presents as a slow-growing painless lump. The aim of this paper is to report a case of myoepithelioma in the mouth floor. Case outline. A young man noticed a painless increased volume in the left side of the mouth floor region, which after one year of evolution presented as a sessile tumor with normal colored mucosa and the absence of secretion output. Computed tomography with contrast showed an image with slightly heterogeneous density, with well-defined limits. Incisional biopsy was performed under local anesthesia, and pathology examination of the sample revealed a myoepithelial neoplasm. Total excision of the lesion was performed under general anesthesia, and histopathological examination confirmed the diagnosis of the salivary gland myoepithelioma. The patient did not present signs of relapse after a year of follow up. Conclusion. Despite the fact that myoepithelioma originating in the salivary gland are considered rare, especially in the mouth floor, this tumor should be considered in the differential diagnosis of similar lesions. Proper treatment appears to be complete surgical excision and post-operative follow-ups shows should be carried out as long as possible, despite the fact that relapses are extremely rare.


2018 ◽  
Vol 15 (03) ◽  
pp. 152-154
Author(s):  
Megan B. Garcia ◽  
Anjali N. Kunz

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.


2008 ◽  
Vol 122 (10) ◽  
pp. 1088-1091 ◽  
Author(s):  
N Jayashankar ◽  
K P Morwani ◽  
M J Shaan ◽  
S R Bhatia ◽  
K T Patil

AbstractGold eyelid implantation is widely considered the procedure of choice to reanimate the upper eyelid in paralytic lagophthalmos. Commercially supplied implants are not readily available in all places and are sometimes cumbersome to import.Objective:We aimed to devise a method whereby every surgeon performing gold eyelid implantation could have easy and quick access to the implant. Furthermore, we aimed to develop a means of creating an implant of the exact weight required for complete eyelid closure.Study design and setting:A prospective study was performed from 1997 to 2005 in a tertiary research hospital, involving 50 subjects requiring gold upper eyelid implantation and using the technique in question.Results:Only patients with a minimum follow up of one year were included in the study group. Symptoms improved in 96 per cent of subjects, who were able to dispense with eyedrops and eye ointments. Visual acuity improved in 92 per cent of patients. There were two extrusions amongst the early cases.Conclusion and significance:Customised gold eyelid implantation offers an alternative in regions where commercial implants are not easily obtained.


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