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Dermoid cysts frequently appear in the orbital area, particularly the left eyebrow, in children. This retrospective study highlights their commonality in ophthalmic procedures and confirms their benign nature.
Area of Science:
- Ophthalmology
- Pediatric Surgery
- Dermatology
Background:
- Dermoid cysts are common benign tumors.
- Orbital and peri-orbital locations are frequent sites for pediatric dermoid cysts.
Purpose of the Study:
- To analyze the incidence and characteristics of pediatric dermoid cysts.
- To identify the most common locations and presentation patterns of these lesions.
Main Methods:
- Retrospective review of 231 pediatric dermoid cyst cases.
- Data collected over 13 years at St. Christopher's Children's Hospital of Philadelphia.
Main Results:
- 37% of all body dermoid cysts occurred in the orbital/peri-orbital region.
- The left eyebrow was the most frequent site for pediatric dermoid cysts.
- Dermoid cysts accounted for 3.3% of all pediatric ophthalmic surgeries; all cases were benign.
Conclusions:
- Pediatric orbital dermoid cysts, especially in the eyebrow, are common.
- Ophthalmologists frequently encounter these benign lesions.
- Understanding presentation and treatment is crucial for pediatric care.
Abstract:
A retrospective study of dermoid cysts in children over the past 13 years at St. Christopher's Children's Hospital of Philadelphia, showed that 37% of the dermoids in the body occurred in the orbital and peri-orbital areas. An unusually high percentage of these occurred in the left eyebrow which appears to be the most frequent location for dermoid cysts in children. Dermoid cysts are a very common lesion encountered by ophthalmologists inasmuch as 3.3% of all ophthalmic surgical procedures in children were performed for dermoids. All 231 cases in this series were benign. The manner and time of presentation of these lesions are discussed as well as the treatment.