Transoral Dermoid Cyst Excision: A Multicenter Prospective Observational Study.

Area of Science:

• Oral surgery
• Surgical oncology
• Dermoid cyst management

Background:

• Transoral surgery is increasingly preferred for its cosmetic benefits, avoiding external scars.
• Standardization of transoral approaches for oral cavity dermoid cysts remains a challenge due to regional anatomical complexity.

Purpose of the Study:

• To evaluate the safety and efficacy of transoral excision for dermoid cysts in the oral cavity.
• To compare cosmetic outcomes and procedural efficiency between transoral and transcervical excision methods.

Main Methods:

• A 4-year prospective multicenter observational study involving university hospitals.
• Evaluation of clinical outcomes and complications in patients undergoing transoral or transcervical dermoid cyst excision.
• Primary outcome: procedural efficacy; Secondary outcome: patient cosmetic satisfaction.

Main Results:

• Twenty-one patients underwent transoral excision and 22 underwent transcervical excision.
• Transoral surgery demonstrated significantly shorter operation durations (P = .001).
• Cosmetic satisfaction was significantly higher in the transoral surgery group (P < .001).

Conclusions:

• Transoral dermoid cyst excision is a safe and effective technique for oral cavity lesions.
• This approach facilitates easy and rapid removal of dermoid cysts.
• Excellent cosmetic outcomes are achievable with the transoral method.