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Published on: August 15, 2025
[A pediatric case of hydatid cyst in the infratemporal fossa]
A Hiroual1, M Elbouihi1, S Fawzi1
1Service de chirurgie maxillofaciale et esthétique, hôpital Ibn Tofail, CHU Mohammed VI. faculté de médecine et de pharmacie de Marrakech, université Cadi Ayyad Marrakech, 1, rue Ibn Qodama, 40000 Marrakech, Maroc.
Introduction:
Hydatid cyst or disease is an anthropozoonosis due to the development of the larval form of the taenia Echinococcus granulosus in humans. It is endemic in Morocco. The location of a hydatid cyst in the infratemporal fossa (ITF) is extremely rare. The authors report a pediatric case.
Observation:
An 11 year old child was admitted to hospital with a history of left latero-facial swelling gradually increasing in volume for 2 months, CT scan of the face revealed a cystic formation of 7 cm diameter sitting at the left ITF, hydatid serology was negative. A transzygomatic approach allowed the excision of the cyst. The histopathological examination of the resected specimen confirmed the diagnosis of hydatid cyst.
Discussion:
The location at the infratemporal fossa of an expansive process such as hydatid cyst in children may have a particular impact on adjacent structures and a more meaningful clinical expression. The rate of growth of hydatid cysts is highly variable and ranges from 1 to 5 cm a year. Hydatid serology is often negative. CT examination is the gold-standard radiological examination. Surgical removal of the hydatid cyst is the most effective treatment. The transzygomatic approach allowed a sufficient access to the cyst and a good quality of excision.
