Transoral microscopic approach to epidermoid cyst in submandibular space

Authors

  • Abhishek Bhardwaj M.S. (ENT), DNB, Assistant Professor, Department of Otorhinolaryngology & Head-Neck Surgery, All India Institute of Medical Sciences, Rishikesh, India
  • Areej Moideen MBBS, Junior Resident, Department of Otorhinolaryngology & Head-Neck Surgery, All India Institute of Medical Sciences, Rishikesh, India
  • Arya V MBBS, Junior Resident, Department of Otorhinolaryngology & Head-Neck Surgery, All India Institute of Medical Sciences, Rishikesh, India
  • Manu Malhotra M.S. (ENT), Additional Professor, Department of Otorhinolaryngology & Head-Neck Surgery, All India Institute of Medical Sciences, Rishikesh, India
  • Madhu priya M.S. (ENT), DNB, Associate Professor, Department of Otorhinolaryngology & Head-Neck Surgery, All India Institute of Medical Sciences, Rishikesh, India
  • Saurabh Varshney M.S. (ENT), Professor and Head, Department of Otorhinolaryngology & Head-Neck Surgery, All India Institute of Medical Sciences, Rishikesh, India
  • Joyson Antony Xavier Junior Resident, Department of Otorhinolaryngology & Head-Neck Surgery, All India Institute of Medical Sciences, Rishikesh, India.

DOI:

https://doi.org/10.5281/zenodo.4584503

Keywords:

Floor of mouth, submandibular space, microscopic excision, epidermoid cysts, dermoid cysts

Abstract

Dermoid cysts are developmental anomalies that arise due to defect in the fusion of embryonic lateral mesenchymal approaches during fifth week of embryonic development. Dermoid cysts can be further subdivided into epidermoid , dermoid and teratoid cysts based on the lining epithelium and contents .We present an unusual case of 32 year old female who presented with a swelling in submandibular space, for whom an initial differential diagnosis of plunging ranula was made. The patient underwent an intraoral microscopic excision of tumor under GA following cytology and radiological investigations .Here we would like to stress the importance of multidisciplinary approach to the disease inorder to confirm the diagnosis, considering the manifold differentials and plan surgical approach. Furthermore, the benefits of undergoing an intra oral microscopic excision of the tumor, as it provides better cosmesis , functional outcome and reduced hospital stay.

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Author Biography

Abhishek Bhardwaj, M.S. (ENT), DNB, Assistant Professor, Department of Otorhinolaryngology & Head-Neck Surgery, All India Institute of Medical Sciences, Rishikesh, India

M.S. (ENT), DNB, Assistant Professor, Department of Otorhinolaryngology & Head-Neck Surgery, All India Institute of Medical Sciences, Rishikesh, India

References

De Ponte FS, Brunelli A, Marchetti E, Bottini DJ (2002) Sublingual epidermoid cyst. J Craniofac Surg 13(2):308-310

Meyer I (1955) Dermoid cysts (dermoids) of the floor of the mouth. Oral Surg Oral Med Oral Pathol 8:1149-1164

Handa U, Kumar S, Mohan H (2002) Aspiration cytology of epidermoid cyst of terminal phalanx. Diagn Cytopathol 26(4):266-267

Rapidis, A.D., Angelopoulos, A.P., and Scouteris, C. (1981) Dermoid cyst of the floor of the mouth: report of a case. Br. J. Oral Surg. 19, 43-51.

Smith, R.G. and Elwell, C.W. (1987) Floor of the mouth swelling. J.Oral Maxillofac. Surg. 48, 251-254.

New GB. Erish JB. Dermoid cysts of the head and neck.Apud.Al-Khayat, M Kerryon GS. Midline sublingual dermoid cysts . J Laryngol Otol.1990;104:578-80.

Lima SM, Chrcanovic BR, de Paula AM, Freire-Maia B, de Souza LN: Dermoid cyst of the floor of the mouth. Scientific W J 2003, 3:156-162.

Vargas Fernandez JL, Lorenzo Rojas J, Aneiros Fernandez J, Sainz Quevedo M: Dermoid cyst of the floor of the mouth. Acta Otorrinolaringol Esp 2007, 58:31-33.

Erich, J.B. (1940) Sebaceous, mucous, dermoid, and epidermoid cysts. Am. J. Surg. 44, 672-677.

Holt, G.R., Holt, J.E., and Weaver, R.G. (1979) Dermoids and teratomas of the head and neck. Ear Nose Throat J. 58, 520-531.

DeMello, D.E., Lima, J.A., and Liapis, H. (1987)Midline cervical cysts in children: thyroglossal anomalies. Arch. Otolaryngol. Head Neck Surg. 113, 418-420

Longo F, Maremonti P, Mangone GM, De Maria G, Califano L. Midline (dermoid) cysts of the floor of the mouth: report of 16 cases and review of surgical techniques. Plast Reconstr Surg 2003; 112(6):1560-5.7

Walstad, W.R., Solomon, J.M., Schow, S.R., and Ochs, M.W. (1998) Midline cystic lesion of the floor of the mouth. J. Oral Maxillofac. Surg. 56, 70-74.

al-Khayat M, Kenyon GS. Midline sublingual dermoid cyst. J Laryngol Otol 1990;104:578/80.