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Klin Monbl Augenheilkd 2015; 232(4): 489-492
DOI: 10.1055/s-0035-1545747
Klinische Studie
Georg Thieme Verlag KG Stuttgart · New York

Different Locations of Dermoid Cysts in the Orbital Region

Unterschiedliche Lokalisierung von Dermoidzysten in der Orbitaregion
Y. Sadeghi
Department of Oculoplastic Surgery, Jules Gonin Eye Hospital, Lausanne, Switzerland
,
A. Obéric
Department of Oculoplastic Surgery, Jules Gonin Eye Hospital, Lausanne, Switzerland
,
M. Hamédani
Department of Oculoplastic Surgery, Jules Gonin Eye Hospital, Lausanne, Switzerland
› Author Affiliations
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Publication History

Publication Date:
22 April 2015 (online)

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Abstract

Background: Dermoid cysts are frequent unilateral congenital benign tumors that can be found at different locations throughout the body. In the orbital region, dermoid cysts occur predominantly in the supero-temporal quadrant. However, different orbital locations are possible, making this entity an important differential diagnosis for orbital tumors. Patients and Methods: We retrospectively reviewed the charts of 23 consecutive patients operated in our institution between 2005 and 2014 for orbital tumors that were diagnosed as congenital dermoid or epidermoid cysts. Results: There were 21 dermoid and 2 epidermoid cysts. The median age at surgery time was 7 years (range 1–41). There were 15 females and 8 males. Eleven cysts were located supero-temporally (47.8 %), seven supero-medially (30.4 %), two temporally (8.7 %), one at the frontal bone (4.4 %) and two in the fossa of the lacrimal gland (8.7 %). The mean cyst diameter was 13.1 mm ± 5.0 (SD). None had signs of malignant disease. No recurrence was observed after complete excision. Conclusion: Dermoid cysts of orbital region are mostly located in the supero-temporal quadrant. However, other orbital locations are possible and dermoid cysts must thus be considered in the differential diagnosis of any mass in the orbital region.

Zusammenfassung

Hintergrund: Dermoidzysten sind häufig einseitig auftretende, kongenitale, gutartige Tumoren, die an verschiedenen Orten im ganzen Körper zu finden sind. In der Orbita treten Dermoidzysten überwiegend im superotemporalen Quadranten auf. Allerdings sind verschiedene Orbitalokalisationen möglich, so dass diese Gruppe von Tumoren eine wichtige Differentialdiagnose zu anderen Orbitaltumoren darstellt. Patienten und Methoden: Wir präsentieren eine retrospektive Studie von 23 konsekutiven Patienten, die in unserer Klinik wegen eines Orbitatumors operiert wurden und dessen postoperative Diagnose eine kongenitale Dermoid- oder Epidermoidzyste ergab. Ergebnisse: Es wurden 21 Dermoid- und 2 Epidermoidzysten diagnostiziert. Die Patienten waren zum Operationszeitpunkt im Durchschnitt 7 Jahre alt (Bereich 1–41). Es waren 15 Frauen und 8 Männer. Elf Zysten befanden sich superotemporal (47,8 %), 7 superomedial (30,4 %), 2 im temporalen Bereich (8,7 %), 1 am Stirnknochen (4,4 %) und 2 in der Tränendrüsengrube (8,7 %). Der mittlere Durchmesser der Zysten war 13,1 mm ± 5,0 (SD). Es wurden keine Malignitätszeichen gefunden. Nach vollständiger Exzision wurde kein Rezidiv beobachtet. Schlussfolgerungen: Dermoidzysten in der Orbita sind am häufigsten im superotemporalen Quadranten lokalisiert. Es sind jedoch andere Orbitallokalisationen möglich. Deshalb müssen Dermoidzysten in der Differentialdiagnose jeglicher Orbitamassen einbezogen werden.

Schlüsselwörter

Dermoidzyste - Epidermoidzyste - Orbitatumor - kongenitaler Tumor - gutartiger Tumor

Key words

dermoid cyst - epidermoid cyst - orbital tumor - congenital tumor - benign tumor
 

  • References

  • 1 Pryor SG, Lewis JE, Weaver AL et al. Pediatric dermoid cysts of the head and neck. Otolaryngol Head Neck Surg 2005; 132: 938-942
    CrossrefPubMedGoogle Scholar
  • 2 Cavazza S, Laffi GL, Lodi L et al. Orbital dermoid cyst of childhood: clinical pathologic findings, classification and management. Int Ophthalmol 2011; 31: 93-97
    CrossrefPubMedGoogle Scholar
  • 3 Ahuja R, Azar NF. Orbital dermoids in children. Semin Ophthalmol 2006; 21: 207-211
    CrossrefPubMedGoogle Scholar
  • 4 Civit T, Joud A, Klein O. [Congenital orbital tumors in adults (dermoid cysts)]. Neurochirurgie 2010; 56: 183-186
    CrossrefPubMedGoogle Scholar
  • 5 Shields JA, Shields CL. Orbital cysts of childhood – classification, clinical features, and management. Surv Ophthalmol 2004; 49: 281-299
    CrossrefPubMedGoogle Scholar
  • 6 Ohtsuka K, Hashimoto M, Suzuki Y. A review of 244 orbital tumors in Japanese patients during a 21-year period: origins and locations. Jpn J Ophthalmol 2005; 49: 49-55
    CrossrefPubMedGoogle Scholar
  • 7 Bonavolonta G, Strianese D, Grassi P et al. An analysis of 2,480 space-occupying lesions of the orbit from 1976 to 2011. Ophthal Plast Reconstr Surg 2013; 29: 79-86
    CrossrefPubMedGoogle Scholar
  • 8 Maurice SM, Burstein FD. Disappearing dermoid: fact or fiction?. J Craniofac Surg 2012; 23: e31-e33
    CrossrefPubMedGoogle Scholar