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Sabhalok et al. Plast Aesthet Res 2016;3:347-50 Plastic and
DOI: 10.20517/2347-9264.2016.09
Aesthetic Research

www.parjournal.net
Case Report Open Access

Epidermoid and dermoid cysts of the head and

neck region

Samrat S. Sabhalok, Lakshmi S. Shetty, Pallavi H. Sarve, Sneha V. Setiya, Swati R. Bharadwaj
Department of Oral and Maxillofacial Surgery, D. Y. Patil Dental College and Hospital, Pimpri Pune 411018, Maharashtra, India.

Correspondence to: Dr. Pallavi H. Sarve, Department of Oral and Maxillofacial Surgery, D. Y. Patil Dental College and Hospital, Pimpri Pune
411018, Maharashtra, India. E-mail: drpallavisarve@gmail.com

How to cite this article: Sabhalok SS, Shetty LS, Sarve PH, Setiya SV, Bharadwaj SR. Epidermoid and dermoid cysts of the head and neck region.
Plast Aesthet Res 2016;3:347-50.
ABSTRACT
Article history: Epidermoid cysts, dermoid cysts and teratoid cysts are cystic malformations lined with
Received: 27-03-2016 squamous epithelium. They present as soft nodular lesions with a sessile base. Their prevalence
Accepted: 10-10-2016 is 7% in head and neck patients and 1.6% within the oral cavity. The authors present a case
Published: 04-11-2016 series of 21 patients with dermoid and epidermoid cysts who underwent surgical removal. One
year of follow-up was carried out without evidence of recurrence. The removal of these cysts
Key words: is of great concern as it can cause serious social stigma, aesthetic and functional impairment,
Epidermoid cyst, dysphagia and dysphonia.
dermoid cyst,
cystic malformations

INTRODUCTION the tongue, lips and buccal mucosa. [4,5] Dermoid and
epidermoid cysts of the orbit are described as both
Epidermoid, dermoid and teratoid cysts are cystic superficial and deep formations with most frequently
malformations lined with squamous epithelium and are slow intermittent growth. Other than aesthetic effects,
classified based on whether they are lined with simple during their growth, dermoid and epidermoid cysts
squamous epithelium (epidermoid), or skin adnexa can cause disturbances in the eye motility, and in rare
are found in the cystic wall (dermoid), or other tissues, cases, also optical nerve compression syndrome. [6,7]
such as a muscle, cartilage and bone are present
[1]
(teratoid). Epidermoid cysts are rare benging lesions Epidermoid cysts occur more frequently in patients
usually located in the oral cavity. They present as soft between 15 and 35 years but can be seen in all
nodular lesions with sessile base. They are frequently age groups. These are slow growing asymptomatic
found in ovaries and testicles, and less frequently in the masses but once they increase in size, they can cause
[1]
head and neck (7% of cases), or within the oral cavity dysphagia, dysphonia and dyspnea. Prior case
(1.6%). [1-3] The floor of the mouth is the most commonly reports report patients that presented with pain, speech
affected area, however these cysts can be found in disorder, or respiratory distress due to epidermoid

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