Faculty Collaboration Database

The spectrum of orbital dermoid cysts and their surgical management. Orbit 2020 Aug;39(4):266-275

Date

06/28/2019

Pubmed ID

31246146

DOI

10.1080/01676830.2019.1631357

Scopus ID

2-s2.0-85068150213 (requires institutional sign-in at Scopus site)   7 Citations

Abstract

PURPOSE: The purpose of this study is to describe a spectrum of surgical approaches to orbital dermoid cysts, influenced by the anatomic location of the expanded cyst wall and other factors.

METHODS: In this retrospective case series, we reviewed cases of dermoid cysts surgically excised during a 39-year period (1977-2016). Cysts were categorized according to the location of the expanded cyst wall and other considerations. The impact of these factors on surgical management was determined.

RESULTS: We identified six dermoid cyst growth patterns based on the anatomic location of the expanded cyst wall that influence the surgical approach: anterior to the frontozygomatic suture (FZS), superior to the FZS, medial to the FZS and other lateral wall sutures, traversing the FZS and other lateral wall sutures, nasoglabellar, and sinus tract from the orbit to the skin. Two additional factors influencing surgical methodology included satellite inflammatory pseudocysts and recurrence after surgical resection.

CONCLUSION: Orbital dermoid cysts are not monolithic lesions. Functional and aesthetic outcomes can benefit from considering the anatomic pattern of cyst wall expansion and other factors in their surgical management.

Author List

Bajric J, Harris GJ

Author

Gerald J. Harris MD Professor in the Ophthalmology and Visual Sciences department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Adolescent
Adult
Child
Child, Preschool
Dermoid Cyst
Female
Humans
Infant
Male
Neoplasm Recurrence, Local
Ophthalmologic Surgical Procedures
Orbital Neoplasms
Retrospective Studies
Tomography, X-Ray Computed
Young Adult