PMID: 20654053Jul 27, 2010Paper

Clinical manifestations, diagnosis and management of recurrent orbital dermoid cysts

[Zhonghua yan ke za zhi] Chinese journal of ophthalmology
Yi WangLi-hua Xiao

Abstract

To evaluate the clinical features, diagnostic methods and treatment of recurrent orbital dermoid cysts. In a retrospective study, the records of 30 consecutive cases with recurrent orbital dermoid cyst confirmed by pathologic examination were analyzed with special attention to the case histories, recurrent factors, clinical manifestations, imaging findings, treatment and prognosis. In the present series, the interval from first appearance in our institute to the operation ranged from 1 month to 36 years, with a median of 2.5 years. Once, twice and three times of operation history were noted in 20 cases, 9 cases and 1 case, respectively. The clinical characteristics included: periorbital masses with red swelling and tenderness in 16 cases, cutaneous fistulas in 4 cases, ectropion and adherence of upper lid in 4 cases. The risk factors for the recurrence included the incomplete excision the cyst or residual of the cyst wall in the bone sutures in 16 cases, misdiagnosis as subcutaneous mass leading to inappropriate operations in 11 cases, operation without imaging examinations in 8 cases, etc. CT scan was performed in all cases, which showed dermoid cysts with hypodensity or isodensity. The common imaging signs included dumbbell d...Continue Reading

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