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.
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- The surgical management of orbitofacial dermoids in the paediatric patient.Plast Reconstr Surg. 1991; 91: 1208-1215
- Miscellaneous Craniofacial conditions.in: Thorne C. Grabb & Smith’s plastic surgery. 6th ed. Lippincott Williams and Wilkins, Philadelphia2007: 290-292
- The frequency and clinical significance of bone involvement in outer canthus dermoid cysts.Br J Ophthalmol. 1993; 77: 789-794
- A lateral dermal sinus associated with an intradiploic cyst.Br J Plast Surg. 1973; 26: 298-300
- Deep frontotemporal dermoid cyst presenting as a discharging sinus. A Case report and review of the literature.Br J Plast Surg. 1998; 51: 255-257
- Orbital Dermoid Cyst and Sinus Tract presenting with acute infection.Ophthal Plast Reconstr Surg. 2004; 20: 465-467
- Temporal dermoid: an unusual presentation.Paediatr Surg Int. 2001; 17: 77-79
- Congenital intracranial frontotemporal dermoid cyst presenting as a cutaneous fistula.Head and Neck. 2005; 27: 429-432
- Congenital pterional dermal sinus in an 18-month-old child: case Report.Neurosurg. 2007; 61: E661
- Key Notes on plastic surgery.Blackwell Publishing, Oxford2002
Published online: February 27, 2012
Accepted: February 4, 2012
Received: September 4, 2011
☆Work not currently submitted or presented elsewhere.
© 2012 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.