Orbital dermoid and epidermoid cysts: Case study

Introduction. Dermoid and epidermoid cysts of the orbit belong to choristomas, tumours that originate from the aberrant primordial tissue. Clinically, they manifest as cystic movable formations mostly localized in the upper temporal quadrant of the orbit. They are described as both superficial a...

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Main Authors: Veselinović Dragan, Krasić Dragan, Stefanović Ivan, Veselinović Aleksandar, Radovanović Zoran, Kostić Aleksandar, Cvetanović Marija
Format: Article
Language:English
Published: Serbian Medical Society 2010-01-01
Series:Srpski Arhiv za Celokupno Lekarstvo
Subjects:
Online Access:http://www.doiserbia.nb.rs/img/doi/0370-8179/2010/0370-81791012755V.pdf
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author Veselinović Dragan
Krasić Dragan
Stefanović Ivan
Veselinović Aleksandar
Radovanović Zoran
Kostić Aleksandar
Cvetanović Marija
author_facet Veselinović Dragan
Krasić Dragan
Stefanović Ivan
Veselinović Aleksandar
Radovanović Zoran
Kostić Aleksandar
Cvetanović Marija
author_sort Veselinović Dragan
collection DOAJ
description Introduction. Dermoid and epidermoid cysts of the orbit belong to choristomas, tumours that originate from the aberrant primordial tissue. Clinically, they manifest as cystic movable formations mostly localized in the upper temporal quadrant of the orbit. They are described as both superficial and deep formations with most frequently slow intermittent growth. Apart from aesthetic effects, during their growth, dermoid and epidermoid cysts can cause disturbances in the eye motility, and in rare cases, also an optical nerve compression syndrome. Case Outline. In this paper, we described a child with a congenital orbital dermoid cyst localized in the upper-nasal quadrant that was showing signs of a gradual enlargement and progression. The computerized tomography revealed a cyst of 1.5-2.0 cm in size. At the Maxillofacial Surgery Hospital in Niš, the dermoid cyst was extirpated in toto after orbitotomy performed by superciliary approach. Postoperative course was uneventful, without inflammation signs, and after two weeks excellent functional and aesthetic effects were achieved. Conclusion. Before the decision to treat the dermoid and epidermoid cysts operatively, a detailed diagnostic procedure was necessary to be done in order to locate the cyst precisely and determine its size and possible propagation into the surrounding periorbital structures. Apart from cosmetic indications, operative procedures are recommended in the case of cysts with constant progressions, which cause the pressure to the eye lobe, lead to motility disturbances and indirectly compress the optical nerve and branches of the cranial nerves III, IV and VI.
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spelling doaj.art-1670bc7346f8470a9cb1959e3a6e73152022-12-21T20:14:50ZengSerbian Medical SocietySrpski Arhiv za Celokupno Lekarstvo0370-81792010-01-0113811-1275575910.2298/SARH1012755VOrbital dermoid and epidermoid cysts: Case studyVeselinović DraganKrasić DraganStefanović IvanVeselinović AleksandarRadovanović ZoranKostić AleksandarCvetanović MarijaIntroduction. Dermoid and epidermoid cysts of the orbit belong to choristomas, tumours that originate from the aberrant primordial tissue. Clinically, they manifest as cystic movable formations mostly localized in the upper temporal quadrant of the orbit. They are described as both superficial and deep formations with most frequently slow intermittent growth. Apart from aesthetic effects, during their growth, dermoid and epidermoid cysts can cause disturbances in the eye motility, and in rare cases, also an optical nerve compression syndrome. Case Outline. In this paper, we described a child with a congenital orbital dermoid cyst localized in the upper-nasal quadrant that was showing signs of a gradual enlargement and progression. The computerized tomography revealed a cyst of 1.5-2.0 cm in size. At the Maxillofacial Surgery Hospital in Niš, the dermoid cyst was extirpated in toto after orbitotomy performed by superciliary approach. Postoperative course was uneventful, without inflammation signs, and after two weeks excellent functional and aesthetic effects were achieved. Conclusion. Before the decision to treat the dermoid and epidermoid cysts operatively, a detailed diagnostic procedure was necessary to be done in order to locate the cyst precisely and determine its size and possible propagation into the surrounding periorbital structures. Apart from cosmetic indications, operative procedures are recommended in the case of cysts with constant progressions, which cause the pressure to the eye lobe, lead to motility disturbances and indirectly compress the optical nerve and branches of the cranial nerves III, IV and VI.http://www.doiserbia.nb.rs/img/doi/0370-8179/2010/0370-81791012755V.pdfdermoid cystepidermoid cystorbitclinical featurestherapy
spellingShingle Veselinović Dragan
Krasić Dragan
Stefanović Ivan
Veselinović Aleksandar
Radovanović Zoran
Kostić Aleksandar
Cvetanović Marija
Orbital dermoid and epidermoid cysts: Case study
Srpski Arhiv za Celokupno Lekarstvo
dermoid cyst
epidermoid cyst
orbit
clinical features
therapy
title Orbital dermoid and epidermoid cysts: Case study
title_full Orbital dermoid and epidermoid cysts: Case study
title_fullStr Orbital dermoid and epidermoid cysts: Case study
title_full_unstemmed Orbital dermoid and epidermoid cysts: Case study
title_short Orbital dermoid and epidermoid cysts: Case study
title_sort orbital dermoid and epidermoid cysts case study
topic dermoid cyst
epidermoid cyst
orbit
clinical features
therapy
url http://www.doiserbia.nb.rs/img/doi/0370-8179/2010/0370-81791012755V.pdf
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AT veselinovicaleksandar orbitaldermoidandepidermoidcystscasestudy
AT radovanoviczoran orbitaldermoidandepidermoidcystscasestudy
AT kosticaleksandar orbitaldermoidandepidermoidcystscasestudy
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