Comparison of superior eyelid incision and directly over the lesion incision to brow dermoid cyst excision

Köse, Rüştü; Okur, Mehmet İhsan

doi:10.1007/s00238-008-0314-3

Cited by 7 publications

(7 citation statements)

References 11 publications

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“…After this incision, long-standing erythema and sometimes a bad looking sunk scar may remain due to thickness of the skin in this area. Scarring occurs more in children as the skin is tight in children [7]. Incisions through, below or above the brow are used to remove these cysts.…”

Section: Discussionmentioning

confidence: 99%

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Excision of Orbital Dermoid Cysts via Upper Eyelid Incision: A Review of 24 Cases

Köse

2014

J Curr Surg

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Background: Dermoid cysts are abnormally located masses arising from abnormal involution of superficial ectoderm during closure of sutures between bones. Dermoid cysts are the most common orbital masses in childhood. They should be surgically removed at ages 1 -2 as they may enlarge and lead to deformation in orbital bony structures and erosion. Traditional treatment is removal of the mass via an incision over the mass. Incisions through, below or above the brow are used to remove these cysts. Endoscopic incision of these cysts is also performed.Methods: In this study, 24 patients aged between 2 and 18 years underwent dermoid cyst excision via upper eyelid incision.Results: Cyst rupture did not occur except two patients. Mean operative time was found as 20 minutes. Loss of vision or eyelid functions occurred in no patients. Cyst recurrence was observed in no patients. All patients or parents were satisfied with the scar. Discussion: There is not a significant difference between direct incision over the mass and upper eyelid incision in terms of cyst rupture and operative time. As upper eyelid skin is the region of the body that hides the scar best with its thin skin, these masses may be removed easily and with a good field of vision via upper eyelid incision.

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Section: Discussionmentioning

confidence: 99%

“…Upper eyelid incision for orbital dermoid cysts was first used by Kertsen in 1988 [2]. Although this incision is not routinely used today, it has begun to be preferred more frequently recently due to good scar [6][7][8]10].…”

Section: Discussionmentioning

confidence: 99%

Excision of Orbital Dermoid Cysts via Upper Eyelid Incision: A Review of 24 Cases

Köse

2014

J Curr Surg

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“…The accurate diagnosis and proper surgical removal of a dermoid cyst in the upper eyelid is important, because if not detected, these cysts can rupture or form a fistula [ 2 ]. Furthermore, the pressure exerted by large cysts can cause bone erosion and facial asymmetry [ 2 ].…”

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confidence: 99%

“…This incision was first described in the ophthalmology literature [ 4 ]. The alternative placing of a direct incision above mass or an eyebrow incision leave a visible scar and also caused eyebrow depilation and hypopigmentation [ 2 ]. The endoscopic approach using a scalp incision was also found to cause hair loss around the operative scar and facial nerve injury [ 2 ].Thus, because of these complications, an eyelid crease incision is preferred.…”

mentioning

confidence: 99%

“…The alternative placing of a direct incision above mass or an eyebrow incision leave a visible scar and also caused eyebrow depilation and hypopigmentation [ 2 ]. The endoscopic approach using a scalp incision was also found to cause hair loss around the operative scar and facial nerve injury [ 2 ].Thus, because of these complications, an eyelid crease incision is preferred. Furthermore, we emphasize in cases of deep dermoid cyst, eyelid crease incision is an important approach because also enables the operator to identify anatomical structure and the condition of upper eyelid, such as, the levator aponeurosis as well as increasing cosmesis.…”

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confidence: 99%

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