Orbital dermoids in children.
Orbital dermoid cysts are benign congenital choristomas. They are common in pediatric population, developing adjacent to suture lines, most commonly located in antero-lateral fronto-zygomatic suture, and are slowly progressive. Complete surgical excision without rupture of cyst is the standard of care. Deep orbital cysts cause proptosis, require imaging, and may present a surgical challenge with a difficult approach. Rupture of the cyst leads to severe inflammatory reaction in surrounding tissues. Overall prognosis remains good with isolated reports of malignancy masquerading as dermoid cysts.
Ahuja
Rakesh
R
Department of Pediatric Ophthalmology & Strabismus, Massachusetts Eye and Ear Infirmary, Boston, MA 02114, USA. rakesh_ahuja@meei.harvard.edu
Azar
Nathalie F
NF
D002648:Child; D002675:Child, Preschool; D003884:Dermoid Cyst / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery; D006801:Humans; D009918:Orbital Neoplasms / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery