A case series of epidermoid cysts of external ear in paediatric age group at our tertiary institution


  • Balaji Shankarrao Mane Department of Otorhinolaryngology, Ashwini Rural Medical College and Hospital, Solapur, Maharashtra, India
  • Abasaheb Madhukar Tidake Department of General Surgery, Government Medical College and Hospital, Aurangabad, Maharashtra, India
  • Rushali Madhukar Gavali Department of Community Medicine, Ashwini Rural Medical College and hospital, Solapur, Maharashtra, India




Keratin flakes, Squamous, Stratified, Auricle, Helix


Epidermoid cyst is a benign, small, subcutaneous, extremely rare, developmental cyst of head and neck region. Case series analysis with duration of one year from June 2021 till June 2022 with study population comprised of five- patients in the paediatric age group that is age ≤12 years with epidermoid cyst over the external ear. All of our cases were benign and asymptomatic in nature and without any recurrence in follow up while the case one and five were having large size with the gross deformity of external ear which is uncommon. The histopathological examination in all cases shown fibro-collagenous cyst wall lined by keratinizing stratified squamous epithelium with a prominent granular cell layer with abundant keratin flakes. All cases shown successful surgical outcome which was confirmed by lack of postsurgical alterations and no recurrence of the lesion during follow up of next 6 months.


Shear M. Developmental cyst of head and neck region. Cyst of oral and maxillofacial region Shear. 4th ed. Oxford: Blackwell Publication. 2007;181-3.

Rajendran R. Developmental disturbances of oral an para oral Structures. Shafer’s textbook of oral pathology. 6th ed. Elsevier publication a division of Reed Elsevier India private limited Noida (UP). 2009;67-9.

Neville. Developmental defects of the oral and maxillofacial region Oral and Maxillofacial Pathology, Neville BW oral and maxillofacial pathology 3rd ed. Sunders Publication; Noida (UP). 2009;32-3.

Saraf S. Implantation dermoid of the palm: an unusual presentation Indian Dermatol Online J. 2012;3(1):37.

Corrêa MS, Fonoff Rde N, Ruschel HC, Parizotto SP, Corrêa FN. Lingual epidermoid cyst: case report in an infant. Pediatr Dent. 2003;25:591-3.

Walstad WR, Solomon JM, Schow SR, Ochs MW. Midline cystic lesion of the floor of the mouth. J Oral Maxillofac Surg. 1998;56:70-4.

Lazaridis E, Tepedino M. Epidermoid Cyst of the Outer Ear and Hearing Loss: Case Report. Int Arch Otorhinolaryngol. 2007;11:494-7.

Samper A, Ruiz de Erenchun R, Yeste L, Bazan A. Dermoid cyst on the auriculotemporal area. Plast Reconstr Surg 2000;106:947-8.

Bauer DJ, Diwan R, Honig BK, Yokel B. Large asymptomatic mass on the ear: Dermoid cyst of the auricle. Arch Dermatol 1994;130:913-4, 916-7.

Chidzonga MM, Mahomva L, Marimo C. Gigantic tongue lipoma: a case report. Med Oral Patol Oral Cir Bucal 2006;11:E437-9.

Gómez Oliveira G, García-Rozado A, Luaces Rey R. Intraosseous mandibular hemangioma. A case report and review of the literature. Med Oral Patol Oral Cir Bucal 2008;13:E496-8.

Perez-Guisado J, Scilleta A, Cabrera-Sanchez E, FRioja L, iant earlobe epidermoid cyst. J Cutaneous Aesthetic Surg. 2012;5:38-9.






Case Series