Pediatric Periocular Dermoid Cysts: Incidence, Clinical Characteristics, and Surgical Outcomes
| Autor: | Brian G. Mohney, Jasmina Bajric, Gregory J. Griepentrog |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Epidemiology Minnesota Eyelid Neoplasms Article 03 medical and health sciences 0302 clinical medicine otorhinolaryngologic diseases medicine Humans 030223 otorhinolaryngology Dermoid Cyst business.industry Incidence Incidence (epidemiology) Infant eye diseases Ophthalmology Child Preschool 030221 ophthalmology & optometry Orbital Neoplasms Female sense organs business |
| Zdroj: | Ophthalmic Epidemiology. 26:117-120 |
| ISSN: | 1744-5086 0928-6586 |
| Popis: | PURPOSE: To report the incidence, clinical findings, and surgical outcomes of periocular dermoid cysts diagnosed among children over a 20-year period. METHODS: All patients ≤ 5 years of age, who were diagnosed with a periocular dermoid cyst in Olmsted County, Minnesota from 1986 to 2005 were reviewed to determine the population incidence, clinical presentation, and management outcomes. RESULTS: A total of 54 children were diagnosed with a periocular dermoid cyst during the 20-year period, yielding a birth incidence of 1 in 638 live births. The mean age at diagnosis was 12 months (range, 1 month to 60 months) and 29 (53.7%) were female. Forty-four cysts (81.5%) occurred in the superotemporal orbital rim, 6 (11.1%) in the superonasal orbital rim, 3 (5.6%) in other periocular areas, and one (1.9%) within the orbit. Thirty-four (63%) children had an ophthalmic exam, all without amblyopia or other ocular sequelae. Forty-eight (88.9%) patients underwent surgical excision with 5 (10.4%) having documented intra-operative cyst rupture, none of whom had post-operative complications. Two (4.2%) other patients were, however, noted to have lesion recurrence following surgical intervention. CONCLUSIONS: Periocular dermoid cysts occur in approximately 1 in 650 live births and most commonly occur in the superotemporal region of children aged 1 year or less. Ocular sequelae are rare and surgical excision often yields excellent results. |
| Databáze: | OpenAIRE |
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