Craniofacial dermoid cyst: a case report

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

doi:10.18203/issn.2454-5929.ijohns20191016

Authors

Morad Faoury Department of Otolaryngology Head and Neck Surgery, University Hospital Southampton, UK
Stefan Mitrasinovic Department of Otolaryngology Head and Neck Surgery, University Hospital Southampton, UK
William Hellier Department of Otolaryngology Head and Neck Surgery, University Hospital Southampton, UK
Nijaguna Mathad Department of Neurosurgery, University Hospital Southampton, UK
Madanagopalan Ethunandan Department of Oral and Maxillofacial Surgery, University Hospital Southampton, UK

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20191016

Keywords:

Dermoid cyst, Nasoglabellar dermoid cyst, Extracerebral dermoid cyst

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.

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Author Biography

Morad Faoury, Department of Otolaryngology Head and Neck Surgery, University Hospital Southampton, UK

University hospital southampton

Otolaryngology, head and neck surgery department

Research fellow

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.