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[True double dermoid cyst of the tongue]
F J García Callejo1, P Roselló Millat, R Alpera Lacruz
1Servicio de ORL, Hospital Clínico Universitario, Valencia.
Insights
Dermoid cysts are rare in the head and neck, especially on the tongue. This case highlights a double intralingual dermoid cyst in an 11-year-old boy, successfully treated with surgery.
Area of Science:
- Otorhinolaryngology
- Pediatric Surgery
- Dermatology
Background:
- Dermoid cysts in the head and neck are uncommon, representing 7% of all dermoid cysts.
- Intralingual dermoid cysts are exceptionally rare, often presenting as midline swellings in neonates causing feeding and speech difficulties.
Observation:
- An 11-year-old boy presented with submandibular and oral swelling, dysphagia, and odynophagia.
- A history of frenulectomy for ankyloglossia and a prior dorsal tongue mass with speech issues were noted.
- The midline location of the swelling raised suspicion for a dermoid cyst.
Findings:
- The patient was diagnosed with an intralingual double dermoid cyst in the anterior two-thirds of the tongue.
- Surgical excision was both diagnostic and therapeutic for the lesion.
- Histopathological examination confirmed the diagnosis of a dermoid cyst.
Implications:
- Complete surgical excision is the recommended treatment for intralingual dermoid cysts.
- Early diagnosis and intervention can restore normal mastication, swallowing, and speech functions.
- This case underscores the importance of considering rare diagnoses in pediatric head and neck masses.
Abstract:
Dermoid cysts into ENT zone are specially infrequent--just the 7% of the organism--, and extremely rare if are located in the tongue. They are usually detected as midline acute swelling, and produce swallowing, speech and sleep disorders at neonatal period because of their congenital character. We present an eleven-year-old boy admitted at our Hospital bearing a submandibular and oral swelling, and dysphagia with odynophagia, finally diagnosed as an intralingual double dermoid cyst of the anterior two thirds. The history of frenulectomy due to a presumed ankyloglossia, the previous presence of a dorsal tumour in tongue with a difficult phonetic articulation, and the midline location of lesions made us to suspect on dermoid cysts of the tongue. Complete surgical excision were diagnostic and therapeutic, and the child recovered totally their mastication, swallowing and speech abilities. Pathophysiological aspects, treatment and the atypical course of the case are discussed.