Orbital dermoid and epidermoid cysts: Case study

Veselinović, Dragan; Krasić, Dragan; Stefanovic, Ivan; Veselinović, Aleksandar M.; Radovanović, Zoran; Kostić, Aleksandar; Cvetanovic, Marija

doi:10.2298/sarh1012755v

Cited by 19 publications

(12 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The clinical presentation depends on the location, size, rate of growth, intracranial extension and correlation to adjacent structures. [6] Varied clinical signs range from a mass with lid swelling, ptosis, globe displacement, proptosis to ocular protrusion, ocular dissimilarity, limitation of ocular motility and optic nerve compression syndrome. [123] Ruszkowski et al suggested that deep seated dermoid cysts could be associated with pain due to pressure induced stretch of a related sensory nerve.…”

Section: Discussionmentioning

confidence: 99%

Deep orbital dermoid cyst bulging into the superior orbital fissure: Clinical presentation and management

Kumar

Vyas

Jaiswal

et al. 2017

J Ophthalmic Vis Res

View full text Add to dashboard Cite

Purpose:To present a case of deep orbital dermoid cyst with emphasis on clinical presentation, imaging spectrum, differential diagnosis and management.Case Report:A 28-year-old female was referred to our hospital with chief complaint of drooping of right eyelid and progressive headache. Ocular motility, visual acuity and fundus examination were normal. computed tomography (CT) and magnetic resonance imaging (MRI) revealed a well-defined, intraosseous deep orbital dermoid cyst (5.9 mm × 12.5 mm) located near the apex of right orbit, extending from greater wing of sphenoid into the superior orbital fissure. Due to occulomotor nerve (superior and inferior divisions) compression which passes through the superior orbital fissure, ipsilateral headache and ptosis occurred. Complete surgical excision of cyst was performed using noninvasive extracranial lateral orbitotomy approach. After removal of the cyst, curette and cutting drill were used to thoroughly remove any residual cystic content. Histopathological analysis confirmed the diagnosis. The healing was uneventful postoperatively.Conclusion:CT and MRI are easy, reliable, safe and effective imaging methods for establishing the diagnosis of orbital dermoid cyst. Size, location and manifestations are the most important determinants of the disease management. Complete surgical excision without rupture of the cyst is the treatment of choice.

show abstract

Section: Discussionmentioning

confidence: 99%

Deep orbital dermoid cyst bulging into the superior orbital fissure: Clinical presentation and management

Kumar

Vyas

Jaiswal

et al. 2017

J Ophthalmic Vis Res

View full text Add to dashboard Cite

show abstract

“…Mild proptosis compared to the lesion size was present in 5 patients (29.4%) who were more concerned about ocular asymmetry secondary to globe displacement and lid fullness. The fact of their presence early in life can explain this sign as the bony orbit expands with increased volume in a way similar to what happens with deeply seated dermoids [8]. …”

Section: Discussionmentioning

confidence: 99%

“…They can break through the orbital walls into the temporal cavity, sinuses, or even intracranial cavity [7]. They present in a variety of ways depending upon the suture of origin, size, rate of growth, and correlation to adjacent structures [8]. …”

Section: Introductionmentioning

confidence: 99%

Orbital Epidermoid Cysts: A Diagnosis to Consider

Ahmed

Eltanamly

2014

Journal of Ophthalmology

View full text Add to dashboard Cite

Background. Orbital epidermoids form a rare pathological entity that is separate from dermoid cysts. They have variable clinical and radiological presentations and they should be considered in the differential diagnosis of orbital cystic lesions. This work describes the various clinical and radiological presentations of 17 cases of epidermoid cysts and the surgical outcome. Method. A prospective interventional study was conducted on 17 patients diagnosed with epidermoid cysts. Patients' symptoms and signs were recorded; CT scan was done for all patients. All lesions were removed through anterior orbitotomy and histopathological diagnosis confirmed. Results. Mean age of patients was 16.3 years ± 10.54. Main complaints were lid swelling, masses, ocular dissimilarity, chronic pain, and ocular protrusion. Clinical signs varied from lid swelling and masses in all cases to proptosis, globe displacement, limitation of ocular motility, and scars. Radiological findings ranged from homogenous hypodense masses (58.8%) to homogenous radiolucent (17.6%) and heterogenous masses (23.5%). No recurrences following surgeries were reported throughout the follow-up (mean 18.8 months ± 0.72). Conclusion. Deep orbital epidemoid cysts are a separate entity that can behave like deep orbital epidermoid; however, they usually present at a relatively older age. They can be associated with increased orbital volume but not necessarily related to bony sutures.

show abstract

“…Parsiyel çıkartılan lezyon; kronik granü-lomatöz inflamasyon, rekürrens veya malignansi riski taşıyabilir (2,3,6,7). Derin yerleşimli kistlerde multidisipliner yaklaşımla, maksillofasiyal cerrah, nöroşirürjiyen ve oftalmolojist ekip çalış-ması yapılması uygundur (2,3,6,7). Progresif derin yerleşimli kistik lezyonu olan olgumuz ilerleyen dönemde intrakranial ve intraorbital bölgeye daha fazla invaze olmasına fırsat vermeden, sol frontoorbital kraniotomi uygulanarak kitle total olarak çıka-rılmıştır.…”

Section: Discussionunclassified

Orbital Roof Localized İntradiploic Epidermoid Cyst: Case Report

Canpolat¹,

Akdemir²,

Duman³

et al. 2013

JAREM

View full text Add to dashboard Cite

ÖZETEpidermoid ve dermoid kist tüm orbital tümörlerin %3-9'unu, intrakranial lezyonların %1'ini oluşturur. Kranial yerleşim gösteren epidermoid kistler %25 intradiploik mesafede ve %75 intradural aralıkta görülmektedir. Orbital epidermoid kist sıklıkla orbitanın temporal konveksite tarafında yerleşmektedir. Çocukluk ve erken erişkin döneminde tespit edilir. Yerleşim yeri ve büyüklüğüne bağlı olarak farklı klinik bulgular oluşturabilir. Bilgisayarlı tomografi (BT) ve manyetik rezonans görüntüleme (MRG) en değerli tanı araçlarıdır. Cerrahi olarak total çıkartılması kabul edilen tedavi yöntemidir. (JAREM 2013; 3: 88-90) Anahtar Sözcükler: Epidermoid kist, intradiploik, orbita ABSTRACT Epidermoid and dermoid cyst constitutes of 3-9% of all orbital tumors, and 1% of intracranial lesions. Cranial epidermoid cysts are seen 25% in intradiploic area and 75% in intradural area. Orbital epidermoid cyst often settles in the convexity of the temporal side of the orbit. It is determined during childhood and early adulthood. It can create different clinical manifestations depending on the location and size. Computerized tomography (CT) and magnetik resonans imaging (MRI) are the most valuable diagnostic tools. Total surgical removal is the treatment adopted. (JAREM 2013; 3: 88-90)

show abstract

Orbital dermoid and epidermoid cysts: Case study

Cited by 19 publications

References 13 publications

Deep orbital dermoid cyst bulging into the superior orbital fissure: Clinical presentation and management

Deep orbital dermoid cyst bulging into the superior orbital fissure: Clinical presentation and management

Orbital Epidermoid Cysts: A Diagnosis to Consider

Orbital Roof Localized İntradiploic Epidermoid Cyst: Case Report

Contact Info

Product

Resources

About