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Year : 2013  |  Volume : 106  |  Issue : 4  |  Page : 235-238

Evacuation of dermoid cysts before excision

Ophthalmology Department, Mansoura University, Mansoura, Egypt

Correspondence Address:
Ayman A El-Ghafar
Ophthalmology Department, Mansoura University, Mansoura
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2090-0686.131563

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Purpose The aim of this work is to evaluate safety and efficacy of evacuation of dermoid cysts before excision. Patients and methods Twenty patients with orbital dermoid, 10 patients with external angular dermoid, seven patients with internal angular dermoid, and three patients with deep orbital dermoid were included in this study. The patients attended the outpatient clinic of Mansoura Ophthalmic Center from January 2011 to September 2011. All patients were operated by puncture of the cyst wall, aspiration of the contents with a suction device, and then complete removal of the cyst wall. Results Twenty patients were operated, 11 males (55%) and nine females (45%), mean age 6.8 (ranged from 2.5 to 27 years). There were three patients (15%) with deep orbital dermoid, 10 patients (50%) with external angular dermoid, and seven patients (35%) with internal angular dermoid. Patients with external and internal angular dermoid were operated through external and internal sub-brow incisions (85%); however, in patients with deep orbital dermoid (15%), they were located in the lacrimal fossa and were operated through lateral orbitotomy without a bone flap. All cases were excised successfully without postoperative recurrence. In one patient (5%), rupture had already occurred before surgery, and this patient developed postoperative recurrent orbital inflammation that responded to a local triamcinolone injection. Conclusion Evacuation of dermoid cyst before excision represents a safe and efficient technique.

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