Intraoral removal of a large epidermoid cyst of the floor of the mouth. A case
report and review of the literature
Fotios H. TZERMPOS, Anastasios I. MYLONAS, Eleftherios PAPADATOS, Evanthia CHRYSOMALI
Department of Oral and Maxillofacial Surgery (Head: Prof. I. Iatrou), Department of Oral Pathology and Medicine (Head: Prof. A. Sklavounou), School of Dentistry, National and Kapodistrian University of Athens, Greece
Hellenic Archives of Oral & Maxillofacial Surgery (2014) 3, 141-147
SUMMARY: The intraoral dermoid cysts constitute less than 0.01% of all oral cavity cysts and are most commonly located in the midline of the floor of the mouth. Histologically they are divided into epidermoid, dermoid and teratoid. The surgical excision can be performed either intraorally or extraorally and the choice of treatment can be determined by the localization and the size of the lesion. In this article, a case of a large epidermoid cyst of the floor of the mouth removed by intraoral excision under local anesthesia with i.v. sedation is presented.
KEY WORDS: Epidermoid cyst, floor of the mouth, intraoral excision
REFERENCES
Agaimy A, Raab B, Bonkowsky V, Wunsch P: Intestinal-type adenocarcinoma arising in congenital sublingual teratoid cyst. Virchows Archiv 450: 479-481, 2007
Dimtsas S, Theologie-Lygidakis N, Iatrou I: Intralingual dermoid cyst in an infant presenting swallowing and sleeping difficulties. J Clin Pediate Dent 34(4): 335-338, 2010
El-Hakim IE, Alyamani A: Alternative surgical approaches for excision of dermoid cyst of the floor of mouth. Int J Oral Maxillofac Surg 37: 497-499, 2008 Fujimoto N, Fujii N, Nagata Y, Uenishi T, Tanaka T: Dermoid cyst with magnetic resonance image of sack-of-marbles. Br J Dermatol 158:415-7, 2008
Gol IH, Kiyici H, Yildirim E, Arda IS, Hicsonmez A: Congenital sublingual teratoid cyst: a case report and literature review. J Pediatr Surg 40: e9-e12, 2005 Gordon PE, Faquin WC, Lahey E, Kaban LB: Floor-of-mouth dermoid cysts: report of 3 variants and a suggested change in terminology. J Oral Maxillofac Surg. 2013 Jun;71(6):1034-41. doi: 10.1016/j.joms.2012.12.008. Epub 2013 Feb 21.
Jadwani S, Misra B, Kallianpur S, Bansod S: Dermoid cyst of the floor of the mouth with abundant hair: a case report. J Maxillofac Oral Surg 8: 388-389, 2009 Jham B, Duraes G, Jham A, Santos C: Epidermoid cyst of the floor of the mouth: a case report. J Can Dent Assoc 73:525-528, 2007
Kahraman A, Kahveci R: A giant dermoid cyst. Dermatol Surg 34:1273- 1275, 2008
Kim JP, Park JJ, Jeon SY, Ahn SK, Hur DG, Kim DW, Park HW, Woo SH: Endoscope-assisted intraoral resection of external dermoid cyst. Head Neck 34:907–910, 2012
Lin HW, Silver AL, Cunnane ME, Sadow PM, Kieff DA: Lateral dermoid cyst of the floor of mouth: Unusual radiologic and pathologic findings. Auris Nasus Larynx 38:650-3, 2011
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 112: 1560-1565, 2003
Lyngdoh TS, Konsam R, Venkatesh MA, Aggarwal S: Giant sublingual epidermoid cyst-An unusual case report. Indian J Surg 72(Suppl 1): 318-320, 2010 Meyer I: Dermoid cysts (dermoids) of the floor of the mouth. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 8:1149-1164, 1955
New GB, Erich JB: Dermoid cysts of the head and neck. Surg Gynecol Obstet 65: 48-51, 1937
Ohta N, Watanabe T, Ito T, Kubota T, Suzuki Y, Ishida A, Kakehata S, Aoyagi M: A case of sublingual dermoid cyst: Extending the limits of the oral approach. Case Rep Otolaryngol 2012: 1-4, 2012
Pirgousis P, Fernandes R: Giant submental dermoid cysts with near total obstruction of the oral cavity: report of 2 cases. J Oral Maxillofac Surg 69: 532-535, 2011
Santos Tde S, Gomes AC, Frota R, Oliveira e Silva ED, Martins Filho PR, Andrade ES: Iatrogenic infection in dermoid cysts of the floor of the mouth. Braz J Otorhinolaryngol 77:675, 2011
Seah TE, Sufyan W, Singh B: Case report of a dermoid cyst at the floor of the mouth. Ann Acad Med Singapore 33:77-9, 2004
Vargas Fernández JL, Rojas JL, Fernández JA, Quevedo MS: Dermoid cyst of the floor of the mouth. Acta Otorrinolaringol Esp 58: 31– 33, 2007
Walstad W, Solomon J, Schow S, Ochs M: Midline cystic lesion of the floor of the mouth. J Oral Maxillofac Surg 56: 70-74, 1998
Yilmaz I, Yilmazer C, Yavuz H, Bal N, Ozluoglu LN: Giant sublingual epidermoid cyst: a report of two cases. J Laryngol Otol 120: e19, 2006
Zachariades N, Skoura-Kafoussia C: A life threatening epidermoid cyst of the floor of the mouth: report of a case. J Oral Maxillofac Surg 48: 400-405, 1990
Department of Oral and Maxillofacial Surgery (Head: Prof. I. Iatrou), Department of Oral Pathology and Medicine (Head: Prof. A. Sklavounou), School of Dentistry, National and Kapodistrian University of Athens, Greece
Hellenic Archives of Oral & Maxillofacial Surgery (2014) 3, 141-147
SUMMARY: The intraoral dermoid cysts constitute less than 0.01% of all oral cavity cysts and are most commonly located in the midline of the floor of the mouth. Histologically they are divided into epidermoid, dermoid and teratoid. The surgical excision can be performed either intraorally or extraorally and the choice of treatment can be determined by the localization and the size of the lesion. In this article, a case of a large epidermoid cyst of the floor of the mouth removed by intraoral excision under local anesthesia with i.v. sedation is presented.
KEY WORDS: Epidermoid cyst, floor of the mouth, intraoral excision
REFERENCES
Agaimy A, Raab B, Bonkowsky V, Wunsch P: Intestinal-type adenocarcinoma arising in congenital sublingual teratoid cyst. Virchows Archiv 450: 479-481, 2007
Dimtsas S, Theologie-Lygidakis N, Iatrou I: Intralingual dermoid cyst in an infant presenting swallowing and sleeping difficulties. J Clin Pediate Dent 34(4): 335-338, 2010
El-Hakim IE, Alyamani A: Alternative surgical approaches for excision of dermoid cyst of the floor of mouth. Int J Oral Maxillofac Surg 37: 497-499, 2008 Fujimoto N, Fujii N, Nagata Y, Uenishi T, Tanaka T: Dermoid cyst with magnetic resonance image of sack-of-marbles. Br J Dermatol 158:415-7, 2008
Gol IH, Kiyici H, Yildirim E, Arda IS, Hicsonmez A: Congenital sublingual teratoid cyst: a case report and literature review. J Pediatr Surg 40: e9-e12, 2005 Gordon PE, Faquin WC, Lahey E, Kaban LB: Floor-of-mouth dermoid cysts: report of 3 variants and a suggested change in terminology. J Oral Maxillofac Surg. 2013 Jun;71(6):1034-41. doi: 10.1016/j.joms.2012.12.008. Epub 2013 Feb 21.
Jadwani S, Misra B, Kallianpur S, Bansod S: Dermoid cyst of the floor of the mouth with abundant hair: a case report. J Maxillofac Oral Surg 8: 388-389, 2009 Jham B, Duraes G, Jham A, Santos C: Epidermoid cyst of the floor of the mouth: a case report. J Can Dent Assoc 73:525-528, 2007
Kahraman A, Kahveci R: A giant dermoid cyst. Dermatol Surg 34:1273- 1275, 2008
Kim JP, Park JJ, Jeon SY, Ahn SK, Hur DG, Kim DW, Park HW, Woo SH: Endoscope-assisted intraoral resection of external dermoid cyst. Head Neck 34:907–910, 2012
Lin HW, Silver AL, Cunnane ME, Sadow PM, Kieff DA: Lateral dermoid cyst of the floor of mouth: Unusual radiologic and pathologic findings. Auris Nasus Larynx 38:650-3, 2011
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 112: 1560-1565, 2003
Lyngdoh TS, Konsam R, Venkatesh MA, Aggarwal S: Giant sublingual epidermoid cyst-An unusual case report. Indian J Surg 72(Suppl 1): 318-320, 2010 Meyer I: Dermoid cysts (dermoids) of the floor of the mouth. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 8:1149-1164, 1955
New GB, Erich JB: Dermoid cysts of the head and neck. Surg Gynecol Obstet 65: 48-51, 1937
Ohta N, Watanabe T, Ito T, Kubota T, Suzuki Y, Ishida A, Kakehata S, Aoyagi M: A case of sublingual dermoid cyst: Extending the limits of the oral approach. Case Rep Otolaryngol 2012: 1-4, 2012
Pirgousis P, Fernandes R: Giant submental dermoid cysts with near total obstruction of the oral cavity: report of 2 cases. J Oral Maxillofac Surg 69: 532-535, 2011
Santos Tde S, Gomes AC, Frota R, Oliveira e Silva ED, Martins Filho PR, Andrade ES: Iatrogenic infection in dermoid cysts of the floor of the mouth. Braz J Otorhinolaryngol 77:675, 2011
Seah TE, Sufyan W, Singh B: Case report of a dermoid cyst at the floor of the mouth. Ann Acad Med Singapore 33:77-9, 2004
Vargas Fernández JL, Rojas JL, Fernández JA, Quevedo MS: Dermoid cyst of the floor of the mouth. Acta Otorrinolaringol Esp 58: 31– 33, 2007
Walstad W, Solomon J, Schow S, Ochs M: Midline cystic lesion of the floor of the mouth. J Oral Maxillofac Surg 56: 70-74, 1998
Yilmaz I, Yilmazer C, Yavuz H, Bal N, Ozluoglu LN: Giant sublingual epidermoid cyst: a report of two cases. J Laryngol Otol 120: e19, 2006
Zachariades N, Skoura-Kafoussia C: A life threatening epidermoid cyst of the floor of the mouth: report of a case. J Oral Maxillofac Surg 48: 400-405, 1990
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