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Giant Deep Orbital Dermoid Cyst Presenting in Infancy
Kathryn S Park1, Michelle Ting1,2, Liane O Dallalzadeh1,2
1Viterbi Family Department of Ophthalmology, UC San Diego, San Diego.
The Journal of Craniofacial Surgery
|July 9, 2021
Summary
An unusual giant orbital dermoid cyst in an infant, initially appearing small, was successfully removed. Complete surgical excision prevented long-term vision problems in this pediatric case.
Area of Science:
- Ophthalmology
- Pediatric Surgery
- Dermoid Cysts
Background:
- Orbital dermoid cysts are common, benign choristomas in children, typically found near suture lines.
- They often present as superficial lateral or medial masses.
Observation:
- An infant presented with a deep, occult giant orbital dermoid cyst.
- Initial clinical examination suggested a small, benign lesion on the central upper eyelid.
Findings:
- Surgical exploration revealed a giant, deep orbital dermoid cyst.
- Complete excision of the cyst was performed via orbitotomy.
Implications:
- Early and complete surgical intervention is crucial for managing deep orbital dermoid cysts.
- Prompt management prevents potential long-term ocular complications in infants.
