Excision of sebaceous cyst by intraoral approach

Abstract

Rationale:Surgical removal of a sebaceous cyst is usually accomplished through an external incision, which inevitably results in a scar. Herein, we described an intraoral approach for excising sebaceous cysts located in the lip or cheek near lip commissure, to avoid a skin scar.Patient concerns:Removal of the cyst but without leaving a scar on the face.Diagnoses:Six patients were diagnosed with a subcutaneous cyst located in the lip or cheek near lip commissure.Interventions:We implemented an intraoral approach to excise the cyst, wherein an intraoral incision was made and blunt dissection was performed through the buccinator muscle or orbicularis oris muscle until the cyst wall was seen. The cyst was then dissected from the surrounding subcutaneous tissue by careful blunt dissection with a hemostat and completely removed through the intraoral incision.Outcomes:All patients had complete recovery, with no recurrence or complaints for at least 6 months after the surgery.Lessons:A sebaceous cyst located in the lip or cheek near lip commissure can be excised by an intraoral approach through the mouth, which avoids a visible scar on the skin.

Cisto Epidérmico Pós-Traumático Em Face: Relato De Caso

“…é uma tumoração benigna comum em qualquer área do corpo onde embriologicamente temos a fusão de elementos teciduais, ocorrendo na região de cabeça e pescoço com uma incidência que varia de 1,6% a 6,9% (Ozan et al, 2007). Geralmente assintomático, porém podem tornar-se sintomático quando acometido por uma infecção secundária ou quando atinge dimensões que podem ser danosas a estruturas adjacentes ou causar deformidades faciais, resultando em queixas estéticas do paciente, fazendo-se necessário intervenção cirúrgica, sendo essas características motivacionais para procura do Research, Society and Development, v. 9, n. 9, e620997784, 2020 (CC BY 4.0) | ISSN 2525-3409 | DOI: http://dx.doi.org/10.33448/rsd-v9i9.7784 13 paciente a um serviço de referência para sua futura remoção (Chen et al, 2017;Park, Kim & Kimb, 2014).…”

Epidermal Cysts Surgery: Case Series

“…The clinical diagnosis can be supported by additional studies such as ultrasonography, fine-needle aspiration biopsy, CT and MRI [7]. The differential diagnosis includes: lipoma, neurofibroma, salivary gland adenoma, vascular lesion, and fibroma [10].…”

An Unusual Occurrence of Epidermoid Cyst in the Inner Mucosa of the Upper Lip: A Case Report

“…[18], and recently, Chen et al . [19] have also reported epidermoid cysts in the upper lip. All 7 cases showed characteristic Histopathological examination of the cyst is required to confirm the diagnosis.…”