A New Approach for Resection of Giant Sublingual Epidermoid Cyst

Fatih Oghan*, Muhammet Fatih Topuz and Onur Erdogan

Objective: Epidermoid cyst is a cystic malformation which is most common in second and third decades, quite rare in oral cavity, which can be congenital or acquired and does not include skin tags. In this case report, we defined a giant epidermoid cyst which is located in mouth floor involving oral and submental regions, mimicking “plunging ranula” and discussed its surgical treatment.

Case characteristics: A mass lesion measuring 5x5 cm which fills mouth floor and located in midcervical line was detected in a 13-year-old female patient who was admitted to our clinic with complaints of a swelling in the neck, difficulty to chew and swallow. The mass lesion was evaluated as cystic benign and measured as 6.5 x 4.5 cm on ultra-sonography examination. Tissue parts which included keratin and proteinous material were detected on fine needle aspiration biopsy (FNAB). 

Treatment and prognosis: The mass lesion was excised with a blunt excision after it had been accessed with a horizontal excision over Wharton duct in the mouth. The lesion was measured 6.5 x 5 cm macroscopically and weighed 50 gr. Findings consisted with an epidermoid cyst were obtained on postoperative histo-pathological examination. 

Comment: Epidermoid cysts are rare cystic malformations which are located in mouth floor. Definite diagnosis is made with histo-pathological examination although pre-operative imaging techniques are beneficial. Internal approach is preferred for cosmetic purposes despite the presence of external and internal treatment approaches.

Keywords:

Published on: Apr 25, 2017 Pages: 43-45

Full Text PDF Full Text HTML DOI: 10.17352/2455-1759.000043
CrossMark Publons Harvard Library HOLLIS Search IT Semantic Scholar Get Citation Base Search Scilit OAI-PMH ResearchGate Academic Microsoft GrowKudos Universite de Paris UW Libraries SJSU King Library SJSU King Library NUS Library McGill DET KGL BIBLiOTEK JCU Discovery Universidad De Lima WorldCat VU on WorldCat