Related Experiment Videos
Superior eyelid incision: an alternative approach for frontozygomatic dermoid cyst excision
A Ruszkowski1, L Caouette-Laberge, P Bortoluzzi
1Division of Plastic Surgery, Hôpital Sainte-Justine, Montréal, Québec, Canada.
Insights
This study shows that upper eyelid crease incisions are effective for removing frontozygomatic dermoid cysts in children, with no long-term complications. Surgical removal resulted in excellent cosmetic outcomes and no functional deficits.
Area of Science:
- Ophthalmology
- Pediatric Surgery
- Dermatology
Background:
- Frontozygomatic dermoid cysts are congenital tumors that can affect the lateral brow area.
- Surgical excision is the standard treatment for these cysts.
Purpose of the Study:
- To evaluate the efficacy and outcomes of using an upper eyelid crease incision for the surgical removal of frontozygomatic dermoid cysts in pediatric patients.
- To assess for complications, functional deficits, and cosmetic results following the procedure.
Main Methods:
- Retrospective review of 65 children (3 months to 13 years) who underwent surgery for frontozygomatic dermoid cysts.
- Surgical approach utilized an upper eyelid crease incision.
- Data collected included cyst characteristics, surgical findings, operative time, and postoperative outcomes (short-term and long-term follow-up).
Main Results:
- All 65 cysts were completely removed, with 54 removed without rupture.
- Average operative time was 21 minutes.
- No lid or ocular dysfunction was observed in any patient during long-term follow-up (up to 7.1 years).
- Excellent scar camouflage was achieved in all cases.
- Minor postoperative swelling and erythema occurred in 2 children.
Conclusions:
- The upper eyelid crease incision is a safe and effective surgical approach for frontozygomatic dermoid cysts in children.
- This technique yields excellent cosmetic results and avoids long-term functional complications.
- The procedure is associated with minimal morbidity and a favorable patient outcome.
Abstract:
Sixty-five children presenting with frontozygomatic (lateral brow) dermoid cysts were operated using an upper eyelid crease incision. There were 38 girls and 27 boys age 3 months to 13 years (mean age, 15 months). The lesions were left sided in 32 patients and right sided in 33 patients. Preoperative radiograph or computed tomographic scan performed for 25 children failed to demonstrate a bony defect in the area of the cyst. At surgery, 14% of the cysts were adherent to the periosteum and 5% were subperiosteal. One cyst extended through the bone into the orbit. All cysts were removed completely, and this was accomplished without rupture in 54 patients. The average operating time was 21 minutes. All children were seen within 1 month of surgery. The postoperative course was uneventful except for early swelling and erythema in 2 children. Thirty-six patients (55%) could be reached for long-term follow-up (range, 1-7.1 years) postoperatively. The authors found no lid or ocular dysfunction and excellent scar camouflage in all patients.