EPIDEMIOLOGY OF PERIORBITAL DERMOID CYST IN PEDIATRIC AGE GROUP

Authors

  • Mohammed Yousif Saed Al-Jaff College of Medicine, University of Sulaimani, Kurdistan Region, Iraq.
  • Sazan Othman Arif Dermatology Teaching Center, Sulaimani, Kurdistan Region, Iraq.
  • Nabaz Mohammed Mustafa Department of Neurosurgery, Shar Teaching Hospital, Sulaimani, Kurdistan Region, Iraq.

DOI:

https://doi.org/10.17656/jsmc.10354

Keywords:

Periorbital dermoid cyst, Cranial CT scan, Excision

Abstract

Background 

Very little is known about the periorbital dermoid cyst in Iraqi Kurdistan. Therefore, this study was undertaken in Sulaimani province to describe the defects in the area and report patients’ outcomes.

Objectives 

The aim of this study was to identify the prevalence of Periorbital dermoid cyst among pediatric age group, characteristics of the lesion regarding location and presentation with management and its out come.

Patients and Methods

The case-series study involved 35 pediatric age group patients; who visited the clinical dermatological and neurosurgical centres, with a periorbital dermoid cyst from 2014 to 2018.

Results

Of the 35 patients who presented with a periorbital dermoid cyst, 18(51.43%) were female, and 17 (48.57%) were male—the age at presentation was mainly infancy. The lesion was situated on the right side in 18 (51.43%) patients and on the left side in 17 (48.57%) patients, and it was presented with a mass in 27 (77.14%) patients, drooping eyelid in seven (20%) patients, and dermoid sinus in one (2.86%) patient.

The lesion was superficial in 24 (68.57%) patients and deeply located in 11 (31.43%). A Cranial CT scan was done in all patients; only five (14.29%) patients showed underline bone erosion. The lesion was progressively enlarged in 26 (74.29%) patients. Surgical excision was performed for all patients, except one, without recurrent complications.

Conclusion

Our view is that if diagnosed early, the dermoid cyst should be totally removed even in asymptomatic lesions because it enlarges and causes underline bone erosion and inflammation.

References

Lane CM, Ehrlich WW, Wright JE. Orbital dermoid cyst. Eye. 1987;1(4):504–11. Available from: https://www.nature.com/articles/eye198776 DOI: https://doi.org/10.1038/eye.1987.76

Kose R. Excision of Orbital Dermoid Cysts via Upper Eyelid Incision: A Review of 24 Cases. J Curr Surg. 2014;4(4):110–2. Available from: https://www.currentsurgery.org/index.php/jcs/article/view/240/193 DOI: https://doi.org/10.14740/jcs240w

William D. James, Timothy G. Berger, Dirk M. Elston.Andrews Diseases of the Skin Clinical Dermatology.12thed. Philadelphia: Elsevier;2016. Chapter 29, Epidermal Nevi, Neoplasms, and Cysts;p.674.

Choi JS, Bae YC, Lee JW, Kang G Bin. Dermoid cysts: Epidemiology and diagnostic approach based on clinical experiences. Arch Plast Surg. 2018;45(6):512–6. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6258973/ DOI: https://doi.org/10.5999/aps.2018.00017

Nigwekar SP, Gupte CP, Chaudhari S V, Kharche PS. Periorbital dermoid cyst. Int J Med Res Heal Sci. 2014;3(3):756-8. Available from: https://www.ijmrhs.com/abstract/periorbital-dermoid-cyst-1331.html DOI: https://doi.org/10.5958/2319-5886.2014.00433.0

Sezenoz AS, Arat YO, Tepeoglu M. An unusual eyelid mass: Tarsal dermoid cyst. Saudi J Ophthalmol .2015;29(4):312–4. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4625219/ DOI: https://doi.org/10.1016/j.sjopt.2015.05.004

Bolognia JL, Jorizzo JJ, Schaffer JV. Dermatology 4th ed. Chapter 64, Developmental Anomalies; Philadelphia, Pa.: Elsevier; 2018. p.1060.

Winn HR. Youmans, Youmans and Winn Neurological Surgery. 7th ed. Philadelphia: Elsevier;2017.Chapter 152, Epidermoid, Dermoid, and Neurenteric Cysts;p.4900-4913.

Horikiri M, Ueda K, Kato M. Dermoid cyst of the auricle: A rare manifestation. BMJ Case Rep. 2014; 2014: bcr2014205826.Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4244362/ DOI: https://doi.org/10.1136/bcr-2014-205826

Abou-Rayyah Y, Rose GE, Konrad H, Chawla SJ, Moseley IF. Clinical, radiological and pathological examination of periocular dermoid cysts: Evidence of inflammation from an early age. Eye. 2002;16(5):507–12. Available from: https://pubmed.ncbi.nlm.nih.gov/12194059/ DOI: https://doi.org/10.1038/sj.eye.6700045

Matsuo T. Clinical decision upon resection or observation of ocular surface dermoid lesions with the visual axis unaffected in pediatric patients. Springerplus. 2015;4:534. Available from: https://pubmed.ncbi.nlm.nih.gov/26413440/ DOI: https://doi.org/10.1186/s40064-015-1326-7

Reissis D, Pfaff MJ, Patel A, Steinbacher DM. Craniofacial dermoid cysts: Histological analysis and inter-site comparison. Yale J Biol Med. 2014;87(3):349–57. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4144289/

Published

2022-06-21

How to Cite

1.
Al-Jaff M, Arif S, Mustafa N. EPIDEMIOLOGY OF PERIORBITAL DERMOID CYST IN PEDIATRIC AGE GROUP. JSMC [Internet]. 2022 Jun. 21 [cited 2024 Apr. 23];12(2):143-50. Available from: https://jsmc.univsul.edu.iq/index.php/jsmc/article/view/jsmc-10354

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