Excision of Orbital Dermoid Cysts via Upper Eyelid Incision: A Review of 24 Cases

Abstract

Background: Dermoid cysts are abnormally located masses arising from abnormal involution of superficial ectoderm during closure of sutures between bones. Dermoid cysts are the most common orbital masses in childhood. They should be surgically removed at ages 1 - 2 as they may enlarge and lead to deformation in orbital bony structures and erosion. Traditional treatment is removal of the mass via an incision over the mass. Incisions through, below or above the brow are used to remove these cysts. Endoscopic incision of these cysts is also performed.

Methods: In this study, 24 patients aged between 2 and 18 years underwent dermoid cyst excision via upper eyelid incision.

Results: Cyst rupture did not occur except two patients. Mean operative time was found as 20 minutes. Loss of vision or eyelid functions occurred in no patients. Cyst recurrence was observed in no patients. All patients or parents were satisfied with the scar.

Discussion: There is not a significant difference between direct incision over the mass and upper eyelid incision in terms of cyst rupture and operative time. As upper eyelid skin is the region of the body that hides the scar best with its thin skin, these masses may be removed easily and with a good field of vision via upper eyelid incision.




J Curr Surg. 2014;4(4):110-112
doi: http://dx.doi.org/10.14740/jcs240w