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A Pediatric Patient With an Orbital Respiratory Epithelial Cyst

Jason E Cohn1, Arash Bahrami, Christina Monteleone

  • 1*Department of Otolaryngology-Facial Plastic Surgery, Philadelphia College of Osteopathic Medicine, Philadelphia, PA †New York Institute of Technology College of Osteopathic Medicine, Old Westbury, NY ‡Department of Pathology and Laboratory Medicine §Department of Plastic Surgery, St. Christopher's Hospital for Children, Philadelphia, PA.

The Journal of Craniofacial Surgery
|October 3, 2017
PubMed

Insights

This study reports a rare case of an orbital respiratory epithelial cyst in a 14-month-old child. Surgical excision and histological analysis confirmed the diagnosis, highlighting a rare pediatric orbital condition.

Area of Science:

  • Ophthalmology
  • Pathology
  • Pediatric Surgery

Background:

  • Orbital respiratory epithelial cysts are rare, often congenital, and arise from ectopic respiratory tissue.
  • Congenital orbital cysts are uncommon, with fewer than 15 cases of respiratory epithelial cysts documented.

Observation:

  • A 14-month-old male presented with a right infraorbital cyst.
  • MRI revealed a cyst displacing the eye and inferior rectus muscle.
  • The cyst was hyperintense on T1 and fluid-dense on T2 MRI sequences.

Findings:

  • Surgical excision via a transconjunctival approach was performed.
  • Histopathology confirmed the cyst lining with ciliated columnar and mucus-containing cells.
  • This represents the youngest patient reported with an orbital respiratory epithelial cyst.

Implications:

  • This case expands the understanding of pediatric orbital cystic lesions.
  • Early diagnosis and surgical management are crucial for favorable outcomes.
  • Highlights the importance of considering rare diagnoses in pediatric ophthalmology.

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