Gazepov, Strahil and Velickovska, Dragana and Gjorgieva, Biljana and Ademi, Doruntina and Shopova, Sanja and Ristova, Jovanka (2023) Dermoid cyst. Knowledge – International Journal, Vol.61 (4). pp. 651-656. ISSN 1857-923X
Text (KNOWLEDGE – International Journal Vol.61.4)
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Abstract
Dermoid cyst is a benign congenital life-choristoma. This group consists of histologically normal
cells arising in an abnormal location and represents childhood's most common orbital attack. These cysts
affect about 3- 9% of orbital examinations in children. the formation takes place in embryonic development
and equally affects bothsexes. A Dermoid cyst can contain structures of skin, sweat and sebaceous glands,
fat cells, and fibers, then structures of bone growth, cartilage, teeth, and others. These cysts can develop in
any part of the body and in any organ, but they are most often found on the face, head, head, eyes, and
eyelids. There are two types of dermoid cysts: orbital and epi-bulbar dermoid cysts. Epi-bulbar dermoid
cysts are divided into posterior epi-bulbar dermoid and limbal dermoid. Depending on whether they grow
outside or inside the orbit, we distinguish exophytic dermoid cysts that grow externally and are detected
early in childhood, and entophytic cysts that grow internally and are detected later in youth or adulthood.
External superficial orbital cysts are usually asymptomatic, while, in contrast, internal deep orbital dermoid
cysts can cause exophthalmos, ptosis, strabismus, and diplopia.
Dermoid cysts can be unilateral or bilateral and are most commonly located in the regions of the bulbar
conjunctiva, limbus, cornea, and caruncle.
The diagnosis is established on the basis of a well-taken history and clinical examination, with inspection
the surfaceorbital desmoids cyst is revealed.
Additional tests such as X-rays, computed tomography, CT, and magnetic resonance imaging are done to
see the exact size and depth of the cyst. Magnetic resonance gives a clear image of the shape, size, and
depth of the cyst. and is usually used in the diagnosis of internal dermoid cysts.
The treatment will depend on the clinical picture and size of the dermoid cyst. In the majority of cases,
treatment is not required. A regular ophthalmological examination is performed in order to check the sight
of children and the possible occurrence of astigmatism. If astigmatism is present in the child, glasses are
prescribed to correct it and obtain clear vision in the child and thus prevention of amblyopia. If the dermoid
cyst is large and impairs vision, surgical treatment is recommended.
The primary goal of surgical excision is to remove the dermoid cyst in its entirety, thereby reducing the
possibilityof its recurrence.
Keywords: dermoid cyst, diagnosis, treatment
Item Type: | Article |
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Subjects: | Medical and Health Sciences > Clinical medicine |
Divisions: | Faculty of Medical Science |
Depositing User: | Strahil Gazepov |
Date Deposited: | 21 Dec 2023 10:20 |
Last Modified: | 21 Dec 2023 10:20 |
URI: | https://eprints.ugd.edu.mk/id/eprint/33025 |
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