Article
Congenital dermoid cyst of the orbit and the surgical treatment (K)
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Published: | October 18, 2013 |
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Introduction: A dermoid cyst is e benign cystic teratoma (choristoma)derived from an embryonic displacement of ectoderm to a subcutaneous location along embryonic lines of closure. Dermoids are lined by keratinized stratified squamous epithelium, have a fibrous wall and contain skin appendages such as sweat glands and hair follicles.
Purpose: This study presents the case of a 5-year old child with a 1.8 cm congenital dermoid cyst located on the supero-temporal part of the orbit. The surgical treatment was done because of the functional and esthetical purposes, related to the eye-lid.
Materials and methods: The patient visited the Ophthalmology pediatrician, and all the laboratory tests had normal values the Rtg orbit test results were in physiological boundaries. The surgical treatment was done with general anesthetic. The excision of the cyst was done, the diameter of the cyst was around 1,8 cm. The dermoid cyst had a fibrous wall and contained skin appendages such as: sweat glands, sebaceous glands and hair follicles.
Results: There were no inter-operative and post-operative complications and the function of the eye-lid after the operation was normal.
Conclusion: As a conclusion we advise the treatment of dermoid cysts by excision because the existence of the cysts affects the function of the eye-lid. If these dermoid cysts are not completely removed during the surgical treatment, they may recur and cause persistent low-grade inflammation.