Internal Angular Dermoid Indenting on the Globe: Considerations to Achieve an Optimum Outcome | Chapter 5 | Medical Research and Its Applications Vol. 3

 

Angular dermoid cysts are common periorbital tumours of embryonic origin in children and adolescents; and arise along the bony sutures as a result of abnormal ectodermal sequestration during development. Usually present in early childhood, are characteristically small benign and slow-growing lesions. External angular dermoid present in the superotemporal quadrant is more common compared to internal angular dermoid in the superonasal quadrant. We report an unusual case of a large internal angular dermoid cyst indenting the globe in a 3-year-old girl who presented with a left upper eyelid mass at a medial angle since one year of age. There was mild mechanical ptosis but no displacement of the globe. Non-contrast computed tomography image revealed a well-defined rounded cystic lesion (15x14 x19 mm) medially in the extraconal region of the left orbit, indenting on the globe. The cyst was excised completely by anterior orbitotomy through a small superior lid crease incision. Cosmetic outcome after surgery was excellent with equal palpebral aperture height in both eyes.

Usually, mass effects on the globe and surrounding structures are features of deep orbital dermoid; can rarely occur in cases of large anterior periorbital dermoid, as was seen in this case. Early surgical excision is recommended and performed in the majority of cases, particularly to restore facial cosmesis and to avoid pressure effects from large dermoid cysts.

 

Author(s)details:-

 

Suwarna Suman
Department of Ophthalmology, All India Institute of Medical Sciences Jodhpur, Rajasthan, India.

 

Hemant Uttamrao Rathod
Department of Ophthalmology, All India Institute of Medical Sciences Jodhpur, Rajasthan, India.

 

Arushi Kumar
Department of ENT, Nalanda Medical College & Hospital, Patna, Bihar, India.

 

Virendra K. Pal
Eye Hospital, Regional Institute of Ophthalmology Sitapur, UP, India.

 

Please See the book here :- https://doi.org/10.9734/bpi/mria/v3/27

Brief Review on Hairy Polyp of the Oropharynx: An Unusual Cause of Choking, Feeding Problems in a Newborn | Chapter 04 | New Horizons in Medicine and Medical Research Vol. 10

 Hairy polyp is a benign developmental anomaly that affects newborns and children. According to embryology, they are benign lesions having ectodermal and mesodermal origins. Depending on the size and location of the lesion, they might produce symptoms such as feeding difficulty, airway obstructions, and apneic episodes. We talk about a case of a hairy polyp in the Oro/Nasopharynx that produced feeding issues immediately after birth. Congenital hairy polyp/choristoma presentation, imaging investigations, management, and literature review were examined. Larger lesions can induce upper airway obstruction, respiratory discomfort, stridor, and feeding problems, and their clinical appearance will depend on their size and location. Surgical excision is used to treat the condition, and histological investigation confirms the diagnosis.

Author(S) Details

Giridhar Guntreddi
SANFORD Medical Center, Bemidji, MN, USA and Des Moines University, Des Moines, IA, USA and University of Minnesota Medical School, Duluth, MN, USA.

Jayasree Vasudevan Nair
Sutter Health, Jackson, CA, USA.

Zahrah Taufique
Pediatrics ENT/Craniofacial Surgery Fellow, Minneapolis, MN, USA.

Swayam P. Nirujogi
Family Medicine, Tower Health, West Reading, PA-19611, USA.

View Book:- https://stm.bookpi.org/NHMMR-V10/article/view/6956