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Related Experiment Videos

Sublingual epidermoid cyst.

Francesco Saverio De Ponte1, Alessandra Brunelli, Emanuele Marchetti

  • 1Cattedra di Chirurgia Maxillo-Facciale, University of Messina, Messina, Italy.

The Journal of Craniofacial Surgery
|May 10, 2002
PubMed
Summary
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This case report details a sublingual epidermoid cyst in an 18-year-old male, successfully treated with surgery. The cyst caused significant breathing and swallowing difficulties, which resolved post-operation.

Area of Science:

  • Oral and Maxillofacial Surgery
  • Developmental Pathology
  • Head and Neck Cysts

Background:

  • Dermoid and epidermoid cysts are rare developmental pathologies in the head and neck, accounting for less than 0.01% of oral cavity cysts.
  • These cysts can present with symptoms impacting vital functions such as breathing, swallowing, and speech.

Observation:

  • A case of a large sublingual epidermoid cyst in the floor of the mouth is presented in an 18-year-old male.
  • The patient experienced significant breathing, swallowing, and speech difficulties due to the cyst.
  • A history of tongue-adherent-to-floor-of-mouth at birth, requiring neonatal surgery, was noted in both the patient and his father.

Findings:

  • Surgical excision of the sublingual epidermoid cyst under general anesthesia was performed.

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  • Histological examination confirmed the diagnosis of an epidermoid cyst.
  • Post-operative follow-up showed complete resolution of symptoms with no recurrence over ten months.

    • Implications:

    • This case highlights the potential for neonatal surgical trauma to contribute to the etiology of epidermoid cysts.
    • A multifactorial origin is suggested, considering the patient's father had a similar birth defect and surgery but did not develop a cyst.
    • Surgical management is effective in resolving symptoms associated with large oral floor epidermoid cysts.