Dermoid Inclusion Cyst Following Percutaneous Needle Fasciotomy: A Novel Complication

Reid, Jenny; Baker, Jill; Davidson, Dominique

doi:10.1142/s242483551972007x

Cited by 3 publications

(3 citation statements)

References 2 publications

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“…The authors located only one article describing a single “dermoid” cyst post PNF and two papers describing epidermal inclusion cysts following open fasciectomy. 7–9 To the best of the authors’ knowledge, this is the first presentation of multiple palmar epidermal inclusion cysts following PNF.…”

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confidence: 80%

Epidermal Inclusion Cysts following Dupuytren’s Percutaneous Needle Fasciotomy: A Case Report

Turner

Foroughi

Jacob

2021

Plastic and Reconstructive Surgery - Global Open

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Summary: Percutaneous needle fasciotomy (PNF) is a favorable approach to Dupuytren’s contracture management, usually reserved for Tubiana stage 1–2, uncomplicated disease. It is growing in popularity globally. Epidermal inclusion cysts are benign, commonly encountered cavities usually found on acral skin, rarely glabrous skin, and often following trauma. We present a 43-year-old laborer with two incidentally found epidermal inclusion cysts in the open excision of painful, Tubiana 3 and 2 Dupuytren’s recurrence of his middle and ring fingers. He had undergone PNF to same 4 years prior. One cyst had ruptured. Both seemed to have migrated distally over time from the initial PNF site with progression of the Dupuytren’s disease. This may be the only case of multiple epidermal inclusion cysts post PNF for Dupuytren’s disease in the literature. The authors discuss factors contributing to epidermal inclusion cyst formation, and postulate whether needle choice may impact the risk of their development as a complication of PNF.

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confidence: 80%

Epidermal Inclusion Cysts following Dupuytren’s Percutaneous Needle Fasciotomy: A Case Report

Turner

Foroughi

Jacob

2021

Plastic and Reconstructive Surgery - Global Open

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“…Another way to adapt the procedure to reduce the likelihood of embedding epithelial material under the skin would be to use smaller needles. 5 However, the association between Dupuytren disease and cystic formations is uncommon, and further research is needed to elucidate potential causal relationships and therapeutic consequences.…”

Section: Discussionmentioning

confidence: 99%

“…To date, the literature has only documented a solitary case of one dermoid cyst reported by Reid et al and two epidermoid cysts detailed by Turner et al, subsequent to percutaneous needle fasciotomy. 5,6 In addition, there are two cases of epidermoid cysts after open dermofasciectomy in the literature. 7,8 The publications that met the inclusion criteria and the case presented here are summarized in Table 1.…”

Section: Literature Reviewmentioning

confidence: 99%

Epidermoid Cysts after Percutaneous Needle Fasciotomy for Dupuytren Contracture: Literature Review

Breidung,

Delavari,

Megas

et al. 2024

Plastic and Reconstructive Surgery - Global Open

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Summary: This case report presents a rare complication after percutaneous needle fasciotomy for Dupuytren contracture: the development of epidermoid cysts. A 60-year-old man who had previously undergone a needle fasciotomy required a subsequent limited fasciectomy due to disease progression. Unexpectedly, epidermoid cysts were discovered during the procedure. The successful removal of the cysts, together with the removal of the contracture cord, resulted in a good functional outcome. The conducted literature review identified four case reports of epidermoid or dermoid cysts after treatment for Dupuytren contracture. The reported cases in the literature and our case emphasize the need for adaptability in the management of Dupuytren contracture and the potential for unexpected complications. Further investigation is essential to understand the relationship between Dupuytren disease and cyst formation.

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Versatility of percutaneous needle fasciotomy for Dupuytren's disease across a spectrum of disease severity: A single-surgeon experience of 118 rays

Patel

2021

JPRAS Open

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Background Percutaneous needle fasciotomy (PNF) represents the only minimally invasive approach for treatment of Dupuytren's disease in Europe since withdrawal of collagenase from European markets. Though well-established, surgeon preference and uncertainty regarding safety and efficacy, results in limited provision in favour of open fasciectomy. Methods A retrospective review of 74 patients who self-opted to receive PNF between 2017 and 2020 was conducted. Demographic data, complications and degree of release achieved were compared across three cohorts based on contracture severity as per Tubiana staging (TS): Stage 1, 0–45°; Stage 2, 46–90°; Stage 3, 91–130° with χ 2 analysis. Results One hundred and eighteen rays were treated amongst 74 patients (mean age, 68 years (R, 32–86), males: 74%) with mean follow-up 51 weeks (IQR 28–76 weeks) with no significant difference in baseline characteristics across cohorts. No cases of permanent sensory disturbance, flexor tendon rupture, arterial transection nor infection were observed. Neuropraxia was seen in six patients, resolving with mean recovery of 6 weeks. 86% ( n = 166) of joints had satisfactory release (residual passive extension deficit (PED) ≤10°) with full release in 67%. Full release was most likely in metacarpophalangeal joint (MCPJ; 93%) than distal interphalangeal joint (DIPJ; 67%) or proximal interphalangeal joint (PIPJ; 45%; p <0.0001). Mean release was 54° in MCPJ and 56° in PIPJ. All TS1 patients achieved release with ≤10° residual PED versus 75% of TS2 patients and 22% of TS3 patients ( p <0.05), the latter of whom had a mean residual PED of 12° Ninety-two percent of patients stated they would undergo PNF again if necessary, in preference to open fasciectomy. Conclusion We find PNF to facilitate a safe, effective yet minimally invasive approach amongst patients of varying disease severity, across different age groups, with recurrent disease, associated comorbidities or concurrent anticoagulation therapy. Patients reported high satisfaction in preference to open procedures. We, therefore, intend to recommend PNF first-line to all patients regardless of disease severity.

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Dermoid Inclusion Cyst Following Percutaneous Needle Fasciotomy: A Novel Complication

Cited by 3 publications

References 2 publications

Epidermal Inclusion Cysts following Dupuytren’s Percutaneous Needle Fasciotomy: A Case Report

Epidermal Inclusion Cysts following Dupuytren’s Percutaneous Needle Fasciotomy: A Case Report

Epidermoid Cysts after Percutaneous Needle Fasciotomy for Dupuytren Contracture: Literature Review

Versatility of percutaneous needle fasciotomy for Dupuytren's disease across a spectrum of disease severity: A single-surgeon experience of 118 rays

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