Excision of a Dermoid Cyst

Excision of a supraorbital Dermoid Cyst

Symptomatic lesion
Infection or Abscess
Cosmetic Concerns
Risk of Rupture
Suspicion of Malignancy
Growth and Expansion
Compressive symptoms
Ocular or Vision Problems
Concerns about Future Growth

Unstable Medical Condition
Severe Infection
Lack of Informed Consent
Risks associated with anesthesia

15-blade scalpel
Double pronged skin hooks
Tenotomy scissors
Needle driver
Smooth forcep pickups
suture Scissors

The eye is first protected with an occlusive dressing. Next, surgical antiseptic is used to sterilize the area. Surgical towels are then used to outline the surgical field. A split drape lined with adhesive is used to outline the surgical area.

The diagnosis of dermoid cysts is largely clinical. They are commonly congenital and arise along suture lines. Although a majority of these lesions are present at birth, they are more commonly diagnosed later in life with the majority of patients receiving diagnosis before age 5.

This lesion was located just superior to the right lateral orbit. It was deep to the frontalis muscle and extended down to the galea of the skull.

Potential complications of this surgery include those associated with general anesthesia, infection, bleeding, need for further procedures, damage to surrounding structures, and scarring.

We have no conflicts of interest to disclose.

Bansal R, Honavar SG, Talloju SS, Mulay K. Orbital dermoid cyst. Indian J Ophthalmol. 2022;70(2):709. doi:10.4103/ijo.IJO_145_22. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9023934/

Pupić-Bakrač J, Pupić-Bakrač A, Bačić I, Kolega MŠ, Skitarelić N. Epidermoid and Dermoid Cysts of the Head and Neck. J Craniofac Surg. 2021;32(1):e25-e27. doi:10.1097/SCS.0000000000006834

Quintanilla-Dieck L, Penn EB Jr. Congenital Neck Masses. Clin Perinatol. 2018;45(4):769-785. doi:10.1016/j.clp.2018.07.012.https://pubmed.ncbi.nlm.nih.gov/30396417/