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Hans Barron Heymann, Bahram Rahmani; A Novel Surgical Approach for the Removal of Pediatric Orbital Dermoid Cysts. Invest. Ophthalmol. Vis. Sci. 2017;58(8):5143.
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© ARVO (1962-2015); The Authors (2016-present)
To propose an alternative technique for the removal of pediatric periocular and orbital dermoid cysts (PODC).
A retrospective case series was collected at a tertiary children’s hospital from 2007 until 2015. All consecutive cases of periocular dermoid cyst surgeries were studied using the proposed technique. Eight cases were excluded from the final analysis. Cases were excluded if the final pathology were not found to be pediatric orbital dermoid cyst or if the proposed technique was not utilized to remove the lesion.
A total of forty-two cases were included in the series having undergone the proposed surgical technique. 34/42 (81%) patients had pre-operative imaging. Of these, MRI constituted about 70% of the imaging studies ordered. PODC location was superotemporal in 60% of cases. The median lesion volume was 468 mm3 (range: 150 - 2940). There were no reported complications after the surgery and zero out of 42 patients required reoperation for a recurrence. Patients were followed for a median duration of 4 weeks.
The authors propose a safe, efficient, alternative technique for the removal of pediatric periocular and orbital dermoid cysts that has a very low rate of complications and very low rate of reoperation.
This is an abstract that was submitted for the 2017 ARVO Annual Meeting, held in Baltimore, MD, May 7-11, 2017.
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