A New Approach for Resection of Giant Sublingual Epidermoid Cyst

Oral, 2022

The frequency of epidermoid cysts in the maxillofacial region is relatively low. Reported: a case of a giant sublingual epidermoid cyst on the floor of the mouth. Case: 38-year-old woman. Chief complaint: oral swelling and respiratory distress. History of present illness: no special notes. Current medical history: she was aware of swelling of the floor of the mouth six months before visiting our department and was referred to our department because of increasing size. Present symptoms: at the time of examination, forced respiration and dysarthria were observed and a spherical soft elastic and well-defined mass was observed on the floor of the mouth. Due to the lesion, the tongue was displaced to the pharyngeal side and the tip of the tongue could not be confirmed. Imaging tests revealed a 65 mm × 76 mm × 54 mm well-defined mass on the mylohyoid muscle, and a dermoid or epidermoid cyst was suspected. Based on the clinical diagnosis of the cyst, the bulk of the cyst contents was reduc...

Cases Journal, 2009

Of all the epidermoid cysts encountered throughout the body, only 7% occurs in the head and neck area, with the oral cavity accounting for only 1.6%. Intraorally this benign slow growing and painless entity is usually located in the submandibular, sublingual and submental region. They can cause symptoms of dysphagia and dyspnoea and have a malignant transformation potential. Surgical excision is the treatment of choice. Described here is a case of gigantic sublingual epidermoid cyst.

Autopsy and Case Reports, 2016

Case reports in medicine, 2013

Dermoid and epidermoid cysts in the oral cavity frequently develop in the midline or sublingual region of the floor of the mouth. Here, we report a rare case of an epidermoid cyst in the submandibular region. The patient was a 69-year-old man with a chief complaint of a mass in the right submandibular region. A mobile, elastic, relatively soft mass without tenderness was palpable in this region. The skin covering the mass was normal. MRI showed a cystic lesion measuring 3.5 × 3.0 cm under the platysma in the right submandibular region. Cystectomy was performed under general anesthesia. There was no adhesion to surrounding tissue and the right submandibular gland was preserved. The surgical specimen was cystic and contained soybean cord-like materials. Histopathologically, the cyst wall was lined by stratified squamous epithelium with no skin appendage, suggesting an epidermoid cyst. The postoperative course was uneventful and without recurrence after 28 months.

Journal of the Medical Sciences, 2020

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.

2017

Tel: +9819985991 Fax: +9819985991 Email: [email protected] The occurrence of epidermoid and dermoid cysts in the oral cavity is extremely rare accounting 0.01% of all cysts. In our case report we hereby present a large epidermoid cyst in the floor of mouth imitating a plunging ranula. A 26-year-old female reported to us with a complaint of a swelling below the tongue since 2 year. On examination there was a swelling in the left side of the floor of the mouth, with anextra oral component in the submental area, the patient underwent surgical removal of the mass under local anaesthesia. Diagnosis of an epidermoid cyst was confirmed by the histopathological report.

International Journal of Advanced and Integrated Medical Sciences, 2016

Infection of pilo-sebacious gland or traumatic migration of epidermis to the deeper layers of the skin can lead to epidermoid cyst. Any site of the body which is lined by squamous epithelium can be the site of epidermoid cyst. We present a case of sublingual epidermoid cyst in a 14-year-old female, who presented with a slow-growing, soft, midline swelling in submental region. Cyst was excised under local anesthesia with sedation. Histopathological examination revealed a cystic wall lined by keratinizing squamous epithelium with lamellated keratin and fibrocollagenous tissue with congested blood vessels, along with subcutaneous fat and muscle bundles, which is suggestive of epidermoid cyst.

Journal of Oral and Maxillofacial Pathology, 2016

Epidermoid cysts (ECs) are uncommon, benign cystic lesions derived from the entrapment of surface epithelium or more often from the aberrant healing of infundibular epithelium during an episode of follicular inflammation. ECs occur anywhere on the body, particularly along embryonic fusion lines, most commonly on the face, scalp, neck, chest and upper back. Head and neck ECs constitute only about 7%, whereas only 1.6% of ECs are reported in the oral cavity. They comprise <0.01% of all the oral cysts. Floor of the mouth, tongue, lips, palate, jaws, etc., are some of the reported sites of ECs in the oral cavity. However, gingival ECs are infrequently reported. In a case series of ECs by Ravindranath et al., out of 13 cases, only 3 occurred in the gingiva (2 in the left posterior and 1 in the right posterior mandibular gingiva). To the best of our knowledge, this is the fourth case report of EC in the region of gingiva in English literature. Clinically, they present as slow-growing, painless, fluctuant masses often detected during the second or third decade of life. Rarely, they cause functional interference; however, size and location of the cyst are being considered as prime concern for seeking the expert opinion. Microscopically, ECs are lined with plain stratified squamous epithelium filled with laminated layers of keratin. CASE REPORTS Case report 1 A 28-year-old male patient reported to the clinic with a swelling in the posterior lingual aspect of gingiva of 34, 35 and 36 regions for 1 year. It was asymptomatic which gradually increased to the present size. Medical/dental history Epidermoid cysts (ECs) are uncommon, benign cystic lesions derived from the entrapment of surface epithelium or more often from the aberrant healing of infundibular epithelium during an episode of follicular inflammation. ECs occur anywhere on the body, particularly along embryonic fusion lines, most commonly on the face, scalp, neck, chest and upper back. Head and neck ECs constitute only about 7%, whereas only 1.6% of ECs are reported in the oral cavity. They comprise <0.01% of all the oral cysts. Floor of the mouth, tongue, lips, palate, jaws, etc., are some of the reported sites of ECs in the oral cavity. Microscopically, ECs are lined with plain stratified squamous epithelium filled with laminated layers of keratin. Here, we report two rare cases of ECs, one occurring in the gingival aspect and other in the lower third of face. The cases are reported due to rarity of ECs in the head and neck region.

Head and Neck Pathology, 2010

A 12 year old girl reported to our department with the chief complaint of a swelling below the tongue producing difficulty in speaking and in closing her mouth for past one year.

Pan African Medical Journal, 2016

Epidermoid cysts are quite rare in the head and neck region. They present as an asymptomatic swelling. The differential diagnosis of these lesions include dermoid cyst, milia, pilar cyst, etc. Although benign they need to be treated as soon as a possible as they can cause disfigurement of the head and neck region. We report a case of epidermoid cyst in the middle face region which was surgically treated.