Back to basics: a case series of angular dermoid cyst excision

Area of Science:

• Ophthalmology
• Pediatric Surgery
• Dermatology

Background:

• Angular dermoid cysts are common, benign, slow-growing pediatric peri-orbital tumors.
• These tumors originate from embryonic ectodermal sequestration along bony sutures.
• Surgical excision is recommended for cosmetic and functional reasons.

Purpose of the Study:

• To review the outcomes of surgical excision for angular dermoid cysts in children.
• To evaluate the efficacy and cosmetic results of the superior eyelid crease approach.
• To compare the superior eyelid crease technique with other surgical methods.

Main Methods:

• Retrospective review of 25 pediatric cases managed over 9 years.
• All patients underwent single-stage surgical excision.
• The superior eyelid crease approach was exclusively used for all excisions.

Main Results:

• The superior eyelid crease approach facilitated simple and complete excision of dermoid cysts.
• This technique resulted in well-concealed scars, improving facial cosmesis.
• The approach proved effective despite advancements in other surgical techniques like endoscopy.

Conclusions:

• The superior eyelid crease approach is an optimal technique for lateral eyebrow dermoid cyst excision in children.
• This method provides excellent cosmetic results and complete tumor removal.
• The technique is recommended for its simplicity and efficacy in managing pediatric orbital dermoid cysts.