The Retrospective Evaluation of Periorbital Dermoid Cyst

Objectives: To evaluate the clinical features of dermoid cysts, which are orbital benign congenital choristomas, and the findings of accompanying inflammation. Materials and Methods: Forty-eight patients were analyzed retrospectively, who underwent mass excision with the prediagnosis of dermoid cy...

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Main Authors: Seda Karaca Adıyeke, Duygu Kunak, İlgün Canbeyli
Format: Article
Language:English
Published: Galenos Yayinevi 2014-12-01
Series:Türk Oftalmoloji Dergisi
Subjects:
Online Access:http://www.oftalmoloji.org/article_7548/The-Retrospective-Evaluation-Of-Periorbital-Dermoid-Cyst
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author Seda Karaca Adıyeke
Duygu Kunak
İlgün Canbeyli
author_facet Seda Karaca Adıyeke
Duygu Kunak
İlgün Canbeyli
author_sort Seda Karaca Adıyeke
collection DOAJ
description Objectives: To evaluate the clinical features of dermoid cysts, which are orbital benign congenital choristomas, and the findings of accompanying inflammation. Materials and Methods: Forty-eight patients were analyzed retrospectively, who underwent mass excision with the prediagnosis of dermoid cyst, between February 2008-January 2012, in our clinic and were diagnosed with dermoid cyst with histopathological examination. All patients underwent routine ophthalmological examination and radiological imaging. The localization of dermoid cyst in patients, the presence of inflammation in radiological and histopathological examinations, excavation of bone tissue, adhesion of the surrounding tissue and histologically content were evaluated. Statistical Package for Social Sciences (SPSS) test was used for statistical analysis. P-value lower than 0.05 was taken as statistically significant. Results: The mean age of a total of 48 patients; 26 female and 22 male was determined as 14.5±14.8 years (1-59 years, median age 9 years). In addition to mass complaint in all patients, pain in two patients (4.1%), rash in four patients (8.1%) and ptosis in one patient were detected. In the radiological examination (Orbital MRI-CT), signs of inflammation were detected in one patient. Histopathologically, there was evidence of inflammation in 29 patients (59%). It has been observed that, the presence of inflammation increased with increasing age and mass size (p=001, p=0.022). It has been observed that, adhesion seen around the dermoid mass perioperatively were associated with the increasing mass size (p=0.001). The frequency of inflammation were increasing with age. Bone tissue adhesions and fibrous encapsulation were observed in 31 patients (63%). In one patient, bone tissue change was detected in orbital MRI or CT, bone excavation was observed in 16 patients (32.7%) during the operation. Conclusion: Although, there are no compatible findings in clinical and radiological examinations, inflammation and surrounding tissue changes caused by dermoid mass has been observed to begin early period. (Turk J Ophthalmol 2014; 44: 461-4)
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spelling doaj.art-7ac5844a3a0a4a10b05e79c6929fd0f52023-02-15T16:13:58ZengGalenos YayineviTürk Oftalmoloji Dergisi1300-06592147-26612014-12-0144646146410.4274/tjo.04372The Retrospective Evaluation of Periorbital Dermoid CystSeda Karaca Adıyeke0Duygu Kunak1İlgün Canbeyli2Tepecik Eğitim ve Araştırma Hastanesi, Göz Hastalıkları Kliniği, İzmir, TürkiyeTepecik Eğitim ve Araştırma Hastanesi, Göz Hastalıkları Kliniği, İzmir, TürkiyeTepecik Eğitim ve Araştırma Hastanesi, Göz Hastalıkları Kliniği, İzmir, TürkiyeObjectives: To evaluate the clinical features of dermoid cysts, which are orbital benign congenital choristomas, and the findings of accompanying inflammation. Materials and Methods: Forty-eight patients were analyzed retrospectively, who underwent mass excision with the prediagnosis of dermoid cyst, between February 2008-January 2012, in our clinic and were diagnosed with dermoid cyst with histopathological examination. All patients underwent routine ophthalmological examination and radiological imaging. The localization of dermoid cyst in patients, the presence of inflammation in radiological and histopathological examinations, excavation of bone tissue, adhesion of the surrounding tissue and histologically content were evaluated. Statistical Package for Social Sciences (SPSS) test was used for statistical analysis. P-value lower than 0.05 was taken as statistically significant. Results: The mean age of a total of 48 patients; 26 female and 22 male was determined as 14.5±14.8 years (1-59 years, median age 9 years). In addition to mass complaint in all patients, pain in two patients (4.1%), rash in four patients (8.1%) and ptosis in one patient were detected. In the radiological examination (Orbital MRI-CT), signs of inflammation were detected in one patient. Histopathologically, there was evidence of inflammation in 29 patients (59%). It has been observed that, the presence of inflammation increased with increasing age and mass size (p=001, p=0.022). It has been observed that, adhesion seen around the dermoid mass perioperatively were associated with the increasing mass size (p=0.001). The frequency of inflammation were increasing with age. Bone tissue adhesions and fibrous encapsulation were observed in 31 patients (63%). In one patient, bone tissue change was detected in orbital MRI or CT, bone excavation was observed in 16 patients (32.7%) during the operation. Conclusion: Although, there are no compatible findings in clinical and radiological examinations, inflammation and surrounding tissue changes caused by dermoid mass has been observed to begin early period. (Turk J Ophthalmol 2014; 44: 461-4)http://www.oftalmoloji.org/article_7548/The-Retrospective-Evaluation-Of-Periorbital-Dermoid-CystPeriorbital dermoid cystchoristomainflammation
spellingShingle Seda Karaca Adıyeke
Duygu Kunak
İlgün Canbeyli
The Retrospective Evaluation of Periorbital Dermoid Cyst
Türk Oftalmoloji Dergisi
Periorbital dermoid cyst
choristoma
inflammation
title The Retrospective Evaluation of Periorbital Dermoid Cyst
title_full The Retrospective Evaluation of Periorbital Dermoid Cyst
title_fullStr The Retrospective Evaluation of Periorbital Dermoid Cyst
title_full_unstemmed The Retrospective Evaluation of Periorbital Dermoid Cyst
title_short The Retrospective Evaluation of Periorbital Dermoid Cyst
title_sort retrospective evaluation of periorbital dermoid cyst
topic Periorbital dermoid cyst
choristoma
inflammation
url http://www.oftalmoloji.org/article_7548/The-Retrospective-Evaluation-Of-Periorbital-Dermoid-Cyst
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