Enhancing dermoid cyst evaluation, management, and care: the power of portable ultrasound devices and the integration of essential ultrasonography

Authors

  • Luiz Paulo Carvalho Rocha
  • Carlos José de Paula Silva
  • Marcelo Drummond Naves
  • Tânia de Carvalho Rocha
  • Micena Roberta Miranda Alves e Silva

DOI:

https://doi.org/10.34117/bjdv11n3-006

Keywords:

ultrasonograhy, anatomy, dermoid cyst

Abstract

This article presents a case report of a sublingual dermoid cyst in an 18-year-old female patient, highlighting the significance of ultrasound (US) examination in the planning, enucleation, and postoperative monitoring of the lesion. Dermoid cysts, characterized by skin appendages, sebaceous glands, and fatty tissue, are rare benign lesions in the head and neck region. The anatomical location of such cysts presents challenges in surgical management due to the complex organization of structures in the floor of the mouth. US plays a crucial role in evaluating the anatomical position and size of the cyst, aiding in surgical planning and follow-up. Real-time visualization provided by US minimizes the risk of complications during surgery and has proven effective in assessing blood vessels and surrounding structures. In this case, preoperative US imaging revealed a well-defined hypodense cyst located superior to the mylohyoid muscle, along with its extension to the sublingual glands. Intraoperative US imaging facilitated precise incision, dissection, and complete cyst removal while preserving adjacent anatomical structures. Postoperative follow-up confirmed the successful outcome with preservation of the anatomical pattern. This case highlights the significance of US in treating sublingual dermoid cysts, offering advantages such as real-time visualization, absence of ionizing radiation, and the ability to determine the nature of the lesion. US examination should be considered an essential tool in the management of dermoid cysts in the floor of the mouth.

References

Pupić-Bakrač J, Pupić-Bakrač A, Bačić I, Kolega MŠ, Skitarelić N. Epidermoid and Dermoid Cysts of the Head and Neck. J Craniofac Surg. 2021;32(1):E25-E27. doi:10.1097/SCS.0000000000006834

Dillon JR, Avillo AJ, Nelson BL. Dermoid Cyst of the Floor of the Mouth. Head Neck Pathol. 2015;9(3):376. doi:10.1007/S12105-014-0576-Y

Vieira EMM, Borges AH, Volpato LER, et al. Unusual Dermoid Cyst in Oral Cavity. Case Rep Pathol. 2014;2014:1-3. doi:10.1155/2014/389752

Tokarz E, Gupta P, McGrath J, Szymanowski AR, Behar J, Behar P. Proposed ultrasound algorithm to differentiate thyroglossal duct and dermoid cysts. Int J Pediatr Otorhinolaryngol. 2021;142. doi:10.1016/J.IJPORL.2021.110624

MacNeil SD, Moxham JP. Review of floor of mouth dysontogenic cysts. Ann Otol Rhinol Laryngol. 2010;119(3):165-173. doi:10.1177/000348941011900304

Teszler CB, El-Naaj IA, Emodi O, Luntz M, Peled M. Dermoid Cysts of the Lateral Floor of the Mouth: A Comprehensive Anatomo-Surgical Classification of Cysts of the Oral Floor. Journal of Oral and Maxillofacial Surgery. 2007;65(2):327-332. doi:10.1016/J.JOMS.2005.06.022

Basla N, Sfondrini D, Achilli MF, et al. Imaging features of epidermoid cyst located in the floor of the mouth: case report and narrative review of literature. Acta Otorhinolaryngol Ital. 2023;43(1):3-11. doi:10.14639/0392-100X-N2193

Turetschek K, Hospodka H, Steiner E. Epidermoid cyst of the floor of the mouth: Diagnostic imaging by sonography, computed tomography and magnetic resonance imaging. British Journal of Radiology. 1995;68(806):205-207. doi:10.1259/0007-1285-68-806-205

Sahoo NK, Choudhary AK, Srinivas V, Tomar K. Dermoid cysts of maxillofacial region. Med J Armed Forces India. 2015;71(Suppl 2):S389. doi:10.1016/J.MJAFI.2013.11.004

Santos T de S, Gomes ACA, Frota R, e Silva ED de O, Filho PRSM, Andrade ES de S. Iatrogenic infection in dermoid cysts of the floor of the mouth. Braz J Otorhinolaryngol. 2011;77(5):675. doi:10.1590/S1808-86942011000500023

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Published

2025-03-06

How to Cite

Rocha, L. P. C., Silva, C. J. de P., Naves, M. D., Rocha, T. de C., & Silva, M. R. M. A. e. (2025). Enhancing dermoid cyst evaluation, management, and care: the power of portable ultrasound devices and the integration of essential ultrasonography. Brazilian Journal of Development, 11(3), e78098. https://doi.org/10.34117/bjdv11n3-006

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Section

Original Papers