DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20191016

Craniofacial dermoid cyst: a case report

Morad Faoury, Stefan Mitrasinovic, William Hellier, Nijaguna Mathad, Madanagopalan Ethunandan

Abstract


We describe a case of a craniofacial dermoid cyst in a 16-month boy treated at our tertiary referral centre. The patient presented with a soft tissue swelling in the mid forehead extending down to the glabella. Computed tomography and magnetic resonance imaging scans demonstrated a peripherally enhancing cystic lesion with a defect in the underlying frontal bone. The clinical and imaging features were suggestive of a dermoid cyst with intracranial extension. The cyst became infected pre-operatively and this episode was managed by aspiration and antibiotics. Definitive management was by excision of the extra and intra-cranial components of the lesion via a bifrontal craniotomy. The presentation, investigations and management of this lesion is discussed.


Keywords


Dermoid cyst, Nasoglabellar dermoid cyst, Extracerebral dermoid cyst

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References


Demir MK, Yapıcıer O, Onat E, Toktaş ZO, Akakın A, Urgun K, et al. Rare and challenging extra-axial brain lesions: CT and MRI findings with clinico-radiological differential diagnosis and pathological correlation. Diagn Interv Radiol. 2014;20(5):448-52.

Yeola M, Joharapurkar SR, Bhole AM, Chawla M, Chopra S, Paliwal A. Orbital floor dermoid: an unusual presentation. Indian J Ophthalmol. 2009;57(1):51-2.

Hanikeri M, Waterhouse N, Kirkpatrick N, Peterson D, Macleod I. The management of midline transcranial nasal dermoid sinus cysts. Br J Plast Surg. 2005;58(8):1043-50.

Pratt LW. Midline cysts of the nasal dorsum: embryologic origin and treatment. Laryngoscope. 1965;75(6):968-80.

Hughes GB, Sharpino G, Hunt W, Tucker HM. Management of the congenital midline nasal mass: a review. Head Neck Surg. 1980;2(3):222-33.

Bartlett SP, Lin KY, Grossman R, Katowitz J. The surgical management of orbitofacial dermoids in the pediatric patient. Plastic Reconstructive Surg. 1993;91(7):1208-15.

Pryor SG, Lewis JE, Weaver AL, Orvidas LJ. Pediatric dermoid cysts of the head and neck. Otolaryngol Head Neck Surg. 2005;132(6):938-42.

Rahbar R, Shah P, Mulliken JB, Robson CD, Perez-Atayde AR, Proctor MR, et al. The presentation and management of nasal dermoid: a 30-year experience. Arch Otolaryngol Head Neck Surg. 2003;129(4):464-71.

Sessions RB. Nasal dermal sinuses--new concepts and explanations. Laryngoscope. 1982;92(29):1-28.

Pensler JM, Bauer BS, Naidich TP. Craniofacial dermoids. Plastic Reconstructive Surg. 1988;82(6):953-8.

Posnick JC, Bortoluzzi P, Armstrong DC, Drake JM. Intracranial nasal dermoid sinus cysts: computed tomographic scan findings and surgical results. Plastic Reconstructive Surg. 1994;93(4):745–6.