Dumbbell-shaped dermoid cyst of the orbit: Case report

Introduction: Dermoid cysts are developmental choristomas (an abnormal arrangement of tissues not normally present at the site) and are oftenevident soon after birth.The incidence of orbital dermoid cysts is generally reported to be 3%–9% of all orbital tumors; Orbital dermoid cyst is a rare cause o...

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Main Authors: Ouassime Kerdoud, Rachid Aloua, Ousmane Belem, Zahra Hmoura, Faiçal Slimani
Format: Article
Language:English
Published: Elsevier 2021-07-01
Series:Advances in Oral and Maxillofacial Surgery
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2667147621001229
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author Ouassime Kerdoud
Rachid Aloua
Ousmane Belem
Zahra Hmoura
Faiçal Slimani
author_facet Ouassime Kerdoud
Rachid Aloua
Ousmane Belem
Zahra Hmoura
Faiçal Slimani
author_sort Ouassime Kerdoud
collection DOAJ
description Introduction: Dermoid cysts are developmental choristomas (an abnormal arrangement of tissues not normally present at the site) and are oftenevident soon after birth.The incidence of orbital dermoid cysts is generally reported to be 3%–9% of all orbital tumors; Orbital dermoid cyst is a rare cause of orbital tumor in the adult population. Case report: The authors report the case of a 35-year-old man who presented with a mass in the left upper eyelid, evolving since birth, associated with exophthalmos and ptosis. Orbital CT confirmed the presence of two fatty formations, one intra-orbital and one extra-orbital, which communicate with each other through a bony canal in the outer wall of the left orbit. The diagnosis of an orbital dermoid cyst could be establishedThe patient underwent a lateral orbitotomy that allowed resection of this dumbbell-shaped tumor extending intraorbital. Discussion: Orbital dermoid cyst is a rare cause of orbital tumor in the adult population. They are divided into deep and superficial lesions. Superficial dermoids are noticed during the first years of life, but those that are located more deeply do not become clinically evident until the subject is 15–40 years of age (Scofield-Kaplan et al., Dec. 2018) [4]. They frequently occur near the orbital rim, but may occur in the deeper intraorbital components where the two lobes of the cyst are connected by a bony canal (dumbbell-shaped dermoid).Although dermoid cysts are benign, most of them are removed surgically because the patient presents with a cosmetically visible lesion or ocular symptoms caused by the cyst. Conclusion: Management of dermoid cysts requires complete excision although it is complicated because of the compressive effects of the deep component.
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spelling doaj.art-83e7ad3d78644da3bc9b40a56511a5172022-12-21T22:10:10ZengElsevierAdvances in Oral and Maxillofacial Surgery2667-14762021-07-013100135Dumbbell-shaped dermoid cyst of the orbit: Case reportOuassime Kerdoud0Rachid Aloua1Ousmane Belem2Zahra Hmoura3Faiçal Slimani4Oral and Maxillofacial Surgery Department, CHU Ibn Rochd, B.P 2698, Casablanca, MoroccoOral and Maxillofacial Surgery Department, CHU Ibn Rochd, B.P 2698, Casablanca, MoroccoOral and Maxillofacial Surgery Department, CHU Ibn Rochd, B.P 2698, Casablanca, Morocco; Oral and Maxillofacial Surgery Department, CHU Yalgado, Ouedraogo, Ouagadougou, Burkina Faso; Corresponding author. Oral and Maxillofacial Surgery Department, CHU Ibn Rochd, B.P 2698, Casablanca, Morocco.Oral and Maxillofacial Surgery Department, CHU Ibn Rochd, B.P 2698, Casablanca, MoroccoFaculty of Medicine and Pharmacy, Hassan II University of Casablanca, B.P 5696, Casablanca, Morocco; Oral and Maxillofacial Surgery Department, CHU Ibn Rochd, B.P 2698, Casablanca, MoroccoIntroduction: Dermoid cysts are developmental choristomas (an abnormal arrangement of tissues not normally present at the site) and are oftenevident soon after birth.The incidence of orbital dermoid cysts is generally reported to be 3%–9% of all orbital tumors; Orbital dermoid cyst is a rare cause of orbital tumor in the adult population. Case report: The authors report the case of a 35-year-old man who presented with a mass in the left upper eyelid, evolving since birth, associated with exophthalmos and ptosis. Orbital CT confirmed the presence of two fatty formations, one intra-orbital and one extra-orbital, which communicate with each other through a bony canal in the outer wall of the left orbit. The diagnosis of an orbital dermoid cyst could be establishedThe patient underwent a lateral orbitotomy that allowed resection of this dumbbell-shaped tumor extending intraorbital. Discussion: Orbital dermoid cyst is a rare cause of orbital tumor in the adult population. They are divided into deep and superficial lesions. Superficial dermoids are noticed during the first years of life, but those that are located more deeply do not become clinically evident until the subject is 15–40 years of age (Scofield-Kaplan et al., Dec. 2018) [4]. They frequently occur near the orbital rim, but may occur in the deeper intraorbital components where the two lobes of the cyst are connected by a bony canal (dumbbell-shaped dermoid).Although dermoid cysts are benign, most of them are removed surgically because the patient presents with a cosmetically visible lesion or ocular symptoms caused by the cyst. Conclusion: Management of dermoid cysts requires complete excision although it is complicated because of the compressive effects of the deep component.http://www.sciencedirect.com/science/article/pii/S2667147621001229Dermoid cystDumbbell-shaped dermoidOrbital tumorsSurgical approach
spellingShingle Ouassime Kerdoud
Rachid Aloua
Ousmane Belem
Zahra Hmoura
Faiçal Slimani
Dumbbell-shaped dermoid cyst of the orbit: Case report
Advances in Oral and Maxillofacial Surgery
Dermoid cyst
Dumbbell-shaped dermoid
Orbital tumors
Surgical approach
title Dumbbell-shaped dermoid cyst of the orbit: Case report
title_full Dumbbell-shaped dermoid cyst of the orbit: Case report
title_fullStr Dumbbell-shaped dermoid cyst of the orbit: Case report
title_full_unstemmed Dumbbell-shaped dermoid cyst of the orbit: Case report
title_short Dumbbell-shaped dermoid cyst of the orbit: Case report
title_sort dumbbell shaped dermoid cyst of the orbit case report
topic Dermoid cyst
Dumbbell-shaped dermoid
Orbital tumors
Surgical approach
url http://www.sciencedirect.com/science/article/pii/S2667147621001229
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AT rachidaloua dumbbellshapeddermoidcystoftheorbitcasereport
AT ousmanebelem dumbbellshapeddermoidcystoftheorbitcasereport
AT zahrahmoura dumbbellshapeddermoidcystoftheorbitcasereport
AT faicalslimani dumbbellshapeddermoidcystoftheorbitcasereport