Summary
Congenital orbitofacial dermoid cysts are epithelial lined structures of ectodermal
origin that may be associated with sinus tracts and variable deep extension. Midline
lesions may extend intracranially, while lateral lesions are thought never to do so.
Consequently only midline lesions are usually imaged prior to surgery.
We describe a lateral dermoid sinus communicating with an intracerebral dermoid cyst
within the middle cranial fossa in a 3 year-old with recurrent periorbital cellulitis
and intermittent discharge from a small pimple in the temporal region.
This case demonstrates that some lateral “dermoids” need to be treated with more caution
if there are unusual features such as dimpling, discharge of material or recurrent
wider infection, and preoperative imaging should be carried out to exclude intracranial
extension.
Keywords
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References
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Article info
Publication history
Published online: February 27, 2012
Accepted:
February 4,
2012
Received:
September 4,
2011
Footnotes
☆Work not currently submitted or presented elsewhere.
Identification
Copyright
© 2012 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.
