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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Serbian Medical Society
2010-01-01
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Series: | Srpski Arhiv za Celokupno Lekarstvo |
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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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issn | 0370-8179 |
language | English |
last_indexed | 2024-12-19T16:06:39Z |
publishDate | 2010-01-01 |
publisher | Serbian Medical Society |
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series | Srpski Arhiv za Celokupno Lekarstvo |
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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