The endoscopic approach to remove dermoid cysts in the face: the surgical technique sistematization

• Main Author: Jaime Anger
• Format: Article
• Language: English
• Published: Instituto Israelita de Ensino e Pesquisa Albert Einstein 2006-09-01
• Series: Einstein (São Paulo)
• Subjects: Dermoid cyst/surgery; Orbital neoplasms/surgery; Facial neoplasms/surgery; Video-assisted surgery/methods
• Online Access: http://www.einstein.br/revista/arquivos/PDF/350-Einstein%20vol4%20n3_203.pdf

Objective: To describe the application of video-assisted surgery toremove dermoid cysts in the frontal and periorbital areas. Methods:From 1994 to 2005, 13 children were submitted to this procedure.Two 0.5-cm scalp incisions were placed 1 cm behind the frontalhairline; the incisions were 3-cm apart. A subperiosteal dissectionwas performed to reach the tumor. The cyst was removed underdirect vision. Results: All lesions were completely removed. Theoperative time did not exceed 60 minutes. The tumors measured1 to 3 cm in diameter. There were no complications and theaesthetic result was considered satisfactory without visible scars.Conclusions: The video-assisted approach to pediatric dermoidcysts in the face is effective and results in no visible facial scars.It is a safe procedure. Direct vision excision assures completeremoval of the tumor.