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Related Concept Videos

Cranial Bones: Lateral View01:27

Cranial Bones: Lateral View

The lateral view of the cranium is dominated by temporal, sphenoid, and ethmoid bones.
The temporal bone forms the lower lateral side of the skull. The temporal bone is subdivided into several regions. The flattened upper portion is the squamous portion of the temporal bone. Below this area and projecting anteriorly is the zygomatic process of the temporal bone, which forms the posterior portion of the zygomatic arch. Posteriorly is the mastoid portion of the temporal bone. Projecting...

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Three-Dimensional Reconstruction of Orbital Fractures
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Orbital floor dermoid: an unusual presentation.

Meenakshi Yeola1, S R Joharapurkar, A M Bhole

  • 1Department of Surgery, A.V.B Rural Hospital, Sawangi, Wardha, India. drmeenu7@rediffmail.com

Indian Journal of Ophthalmology
|December 17, 2008
PubMed
Summary

Orbital floor dermoid cysts are rare developmental abnormalities. This case highlights a dermoid cyst in an 18-year-old female presenting with eyelid swelling and proptosis, successfully treated with surgical excision.

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Area of Science:

  • Ophthalmology
  • Developmental Biology
  • Surgical Pathology

Background:

  • Dermoid cysts represent congenital malformations resulting from abnormal tissue development.
  • Orbital dermoid cysts are uncommon, with a predilection for presentation in pediatric or young adult populations.
  • These cysts can manifest as slow-growing, painless masses within the orbital structures.

Observation:

  • An 18-year-old female presented with a three-month history of progressive, painless swelling of the lower eyelid.
  • Associated symptoms included mild proptosis, indicating displacement of the eyeball.
  • The clinical presentation suggested a space-occupying lesion within the orbit.

Findings:

  • A dermoid cyst was identified originating from the orbital floor.
  • Surgical excision of the lesion was performed completely.
  • Histopathological examination confirmed the diagnosis of a dermoid cyst, characterized by dermal appendages and keratinous debris.

Implications:

  • Complete surgical excision is the definitive treatment for orbital dermoid cysts.
  • Early diagnosis and intervention can prevent complications such as vision impairment or orbital deformity.
  • This case underscores the importance of considering dermoid cysts in the differential diagnosis of orbital masses, even in young adults.