A bulky dermoid cyst of the floor of the mouth

Boko, E; Amaglo, K.; Kpémissi, E

doi:10.1016/j.anorl.2013.01.003

Cited by 22 publications

(22 citation statements)

References 9 publications

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“…Teszler et al 5 have used the anatomicosurgical classification to decide on the surgical approach. For large cysts with airway compromise options described include fibreoptic nasotracheal intubation, decompression of the cyst by aspiration of cyst and even tracheostomy 1 13 14. Fine-needle aspiration cytology as a diagnostic and therapeutic modality has been described; however, its role in the era of imaging is debatable 15…”

Section: Discussionmentioning

confidence: 99%

Sublingual dermoid causing stertor in an infant

et al. 2016

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Sublingual dermoids are uncommon lesions in the floor of mouth. The most common age of presentation is early adulthood, but presentation in infancy has also been reported. This report highlights the clinical presentation and treatment challenges in infants. An 8-month-old infant presented with inability to close mouth, intermittent stertor and snoring. MRI suggested a sublingual dermoid which was confirmed on histopathology of the surgically enucleated specimen. Sublingual dermoids are uncommon lesions of the floor of mouth. The age of presentation of a sublingual dermoid depends on the initial size of the lesion. Large sublingual dermoids in neonates can present with respiratory embarrassment and need early surgical intervention. Surgical enucleation via an intraoral approach is the treatment of choice with external approach reserved for very large cysts below the mylohyoid. Large sublingual cysts can present with anaesthetic challenges and may need fibreoptic intubation.

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Section: Discussionmentioning

confidence: 99%

Sublingual dermoid causing stertor in an infant

et al. 2016

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“…vascular abnormalities vs. tumors). These lesions might affect critical functions, such as swallowing and breathing 1 , 2 , 8 , 11 , 12 , 14 . The consequences appear to be more severe in younger patients causing defects during the facial development.…”

Section: Introductionmentioning

confidence: 99%

Occurrence of dermoid cyst in the floor of the mouth: the importance of differential diagnosis in pediatric patients

et al. 2017

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Lesions in the floor of the mouth can be a challenging diagnosis due to the variety of pathological conditions that might be found in this area. Within a broad range of lesions, attention has to be addressed to those that require specific management, such as a dermoid cyst (DC) and a ranula. Especially in pediatric patients, in whom the failure of diagnosis can postpone the correct treatment and cause sequelae later in life. DC, a developmental anomaly, is managed primarily by surgical resection. On the other hand, ranula is a pseudocyst that may be treated by marsupialization. This article reports a large and painful lesion in the floor of the mouth in a pediatric patient. With a diagnostic hypothesis of ranula, two surgical interventions were performed, but there were recurrences of the lesion. Subsequently, the patient was referred to the Oral and Maxillofacial Surgery Unit for re-evaluation. Computed tomography showed a semi-transparent image suggesting a cystic formation. Another surgical procedure was performed where the lesion was completely removed. Anatomopathological analysis confirmed the diagnosis of DC. The five-year follow-up showed no signs of recurrence. This article indicates that although DC in the floor of the mouth is rare, it should be considered in the differential diagnosis of other diseases in this area. This precaution may be particularly important in the following circumstances: 1) Similar lesions that have different therapeutic approaches and, 2) To prevent future sequelae in pediatric patients.

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“…Les tératomes congénitaux sont observés dans 1/4 000 naissances, avec une prédomi-nance féminine. Leur localisation au niveau du plancher buccal constitue environ 1,6 % à 6,5 % de toutes les localisations [1] et leur découverte chez l'adulte reste exceptionnelle [2]. Les tératomes du plancher buccal sont souvent retrouvés en position médiane mais dans 6 % des cas ils sont latéraux [3][4][5].…”

Section: Discussionunclassified

“…Macroscopiquement, le tératome malin est plus souvent solide que kystique et contient des tissus immatures. Le diagnostic est posé devant la présence de cellules immatures, mais le degré de malignité n'est pas proportionnel à la quantité de tissus immatures présents dans le tératome [1][2][3][4][5][6][7][8]. Meyer [7] avait proposé une classifi cation anatomochirurgicale pour les téra-tomes du plancher buccal basée sur leur situation par rapport aux muscles génioglosse, géniohyoïdien, mylohyoïdien et digastrique.…”

Section: A S C L I N I Q U E C a S C L I N I Q U E Observationunclassified

“…Le risque de cancérisation se voit essentiellement dans les tératomes des gonades, notamment les tératomes ovariens, et son incidence est liée à l'âge de découverte [2]. Pour les tératomes du plancher buccal, le risque de transformation maligne est exceptionnel [2]. Le traitement des tératomes est l'exérèse chirurgicale complète.…”

Section: A S C L I N I Q U E C a S C L I N I Q U E Observationunclassified

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Un tératome du plancher buccal

Moumine

Choumi

Sabani

et al. 2014

Med Buccale Chir Buccale

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Un tératome du plancher buccalRésumé -Introduction : Les tératomes du plancher buccal sont des choristomes rares, de découverte exceptionnelle chez l'adulte. Observation : Un cas rare de tératome du plancher buccal chez un patient de 41 ans est rapporté. Il se manifestait par une tumé-faction du plancher buccal, mobilisable à la palpation. L'examen radiographique et la tomodensitométrie (TDM) révélaient une image ostéocondensante incluse dans une masse graisseuse. L'examen anatomopathologique de la pièce d'exérèse concluait à un tératome. Discussion : Le diagnostic de tératome doit être évoqué devant une radio-opacité du plancher buccal. L'orthopantomogramme, la TDM et ou l'imagerie par résonance magné-tique (IRM) orientent le diagnostic. Le diagnostic de certitude est anatomopathologique.Abstract -A teratoma of the lateral fl oor of the mouth. Introduction: Teratomas of the fl oor of the mouth are uncommon choristomas. Discovery of teratoma in adults is rare. Observation: An exceptional case of a teratoma of the fl oor of the mouth in a 41-year-old patient is reported. It was manifested by swelling of the fl oor of the mouth and could be mobilized by palpation. Radiographic examination and a CT scan revealed a dense mineralized image included in a fat mass. The histopathological analysis concluded it was a teratoma. Comments: The diagnosis of teratoma should be considered for radio-opacity of the fl oor of the mouth. An orthopantomogram, computed tomography (CT) and/or Magnetic Resonance Imaging (MRI) guide the diagnosis. The diagnosis is histopathological.évidence un tissu fi bro-adipeux mature et osseux anarchique, compatible avec un tératome bénin.

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A bulky dermoid cyst of the floor of the mouth

Abstract: Dermoid cysts of the floor of the mouth are rare. They may induce functional disorder. An intra-oral approach is preferable when possible.

Cited by 22 publications

References 9 publications

Sublingual dermoid causing stertor in an infant

Sublingual dermoid causing stertor in an infant

Occurrence of dermoid cyst in the floor of the mouth: the importance of differential diagnosis in pediatric patients

Un tératome du plancher buccal

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