Deep Orbital Dermoid Cyst Bulging into the Superior Orbital Fissure: Clinical Presentation and Management
نویسندگان
چکیده
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.
منابع مشابه
Giant deep orbital dermoid cyst presenting early in infancy in a Nigerian child: a case report and review of the literature
INTRODUCTION Dermoid cysts are the most common orbital cystic lesions seen in children. While superficial orbital dermoid cysts present early in life, deep dermoid cysts remain clinically occult until adolescence or adulthood. We here present a case of a deep orbital dermoid cyst in a Nigerian child that became symptomatic early in infancy. CASE PRESENTATION A female Nigerian infant of Yoruba...
متن کاملOrbital dermoids: clinical presentation and management.
The authors have reviewed 15 cases of orbital dermoids representing 6% of orbital tumours seen at the University of British Columbia Orbital Clinic. They tended to occur as either asymptomatic superficial lesions in children or as complicated deep lesions in adolescents and adults. The superficial lesions were as frequent medially as laterally and could be dealt with by a direct uncomplicated s...
متن کاملOrbital apex disorders: a case series.
Orbital apex syndrome is an uncommon disorder characterized by ophthalmoplegia, proptosis, ptosis, hypoesthesia of the forehead, and vision loss. It may be classified as part of a group of orbital apex disorders that includes superior orbital fissure syndrome and cavernous sinus syndrome. Superior orbital fissure syndrome presents similarly to orbital apex syndrome without optic nerve impairmen...
متن کاملMinimal Invasive Excision of Intraorbital Dermoid Cyst
Dermoid cysts are benign tumors that represent the simplest form of teratoma (1). Approximately 7% of dermoid cysts affect the head and neck region, and within this region, they are commonly found along the orbital walls(2). Orbital dermoid cysts occur most commonly along the lateral aspect of the orbit, in approximately 69% of cases. Intraorbital location is relatively rare for these lesions. ...
متن کاملDermoid and epidermoid cysts represent congenital cystic benign tumours and belong to choroistomas
Dermoid and epidermoid cysts represent congenital cystic benign tumours and belong to choroistomas which originate from aber rant primordial tissue. Choristomas are benign tumours that are formed during the embryonic development from the tissues we do not normally expect to be there. Practically, it is normal tissue that is found at the wrong place. During such an embryonic development and for...
متن کامل