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Updated: May 27, 2026

08:18
Three-Dimensional Reconstruction of Orbital Fractures
Published on: May 16, 2025
[Orbital ontogen dermoid cyst].
B Kostolná1, A Gerinec, P Babal
1Klinika detskej oftalmológie LFUK-DFNsP, Bratislava. kostolnab@gmail.com
Summary
This paper details a rare orbital dermoid cyst in the lacrimal sac containing teeth. Recurrence occurred after surgery, but complete cyst removal led to a favorable outcome.
Area of Science:
- Ophthalmology
- Dermatology
- Oral and Maxillofacial Surgery
Background:
- Orbital dermoid cysts are congenital tumors, typically found at the frontozygomatic suture.
- Dermoid cysts in the lacrimal sac region are exceptionally rare.
- Ectopic dental elements within orbital cysts are a highly unusual finding.
Observation:
- A patient presented with a recurrent orbital dermoid cyst in the lacrimal sac region four years after initial surgical intervention.
- The recurrent cyst contained ectopic dental elements, located in the lower eyelid's lacrimal area.
- Initial surgery for the primary cyst was uneventful.
Findings:
- Complete surgical exenteration of the recurrent dermoid cyst and its contents was performed.
- Histopathological examination confirmed the presence of dental structures within the cyst.
Implications:
- This case highlights the possibility of recurrence in orbital dermoid cysts, even after initial complete removal.
- The presence of ectopic dental elements underscores the complex nature of teratoid tumors.
- Successful surgical management can restore both cosmetic appearance and ocular function in such rare cases.
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