The surgical management of orbitofacial dermoids in the pediatric patient.
Orbitofacial dermoids in the pediatric population represent a diverse group of lesions. Because of their variability in both clinical presentation and contiguous structure involvement, a thorough understanding of their surgical-pathologic anatomy is imperative. In this retrospective review of 84 lesions in 84 patients, we noted segregation of the lesions into three distinct subgroups: brow region dermoids, orbital region dermoids, and nasoglabellar dermoids. Further, we identified physical characteristics within each subgroup that appeared to direct diagnostic workup and subsequent surgical intervention. From this experience, a treatment algorithm was developed that gives the practitioner more precision in the management of these lesions.
Division of Plastic Surgery and Ophthalmology, University of Pennsylvania, Philadelphia.
S P
SP
Bartlett
K Y
KY
Lin
R
R
Grossman
J
J
Katowitz
D000465:Algorithms; D002648:Child; D002675:Child, Preschool; D003884:Dermoid Cyst / Q000453:epidemiology / Q000601:surgery*; D005153:Facial Neoplasms / Q000453:epidemiology / Q000601:surgery*; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D009669:Nose Neoplasms / Q000453:epidemiology / Q000601:surgery*; D009918:Orbital Neoplasms / Q000453:epidemiology / Q000601:surgery*; D012189:Retrospective Studies