Upper eyelid crease surgical approach to dermoid and epidermoid cysts in children

The treatment of choice for subcutaneous and orbital dermoid and epidermoid cysts in children is surgical excision. Numerous surgical approaches have been advocated to excise these lesions from the eyelid and anterosuperior orbit. Our technique for this procedure involves an approach through an upper eyelid crease incision. The advantages over alternative methods include (1) excellent exposure of eyelid and anterior orbital structures, (2) familiarity to most eyelid surgeons, (3) minimal dissection with little risk to vital anatomic structures, (4) simple wound closure, and (5) excellent final cosmetic result with a scar that is well-hidden. We have utilized this technique in 24 patients with excellent results and no complications.