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Upper Eyelid Crease Surgical Approach to Dermoid and Epidermoid Cysts in Children

Upper Eyelid Crease Surgical Approach to Dermoid and Epidermoid Cysts in Children Abstract • The treatment of choice for subcutaneous and orbital dermoid and epidermoid cysts in children is surgical excision. Numerous surgical approaches have been advocated to excise these lesions from the eyelid and anterosuperior orbit. Our technique for this procedure involves an approach through an upper eyelid crease incision. The advantages over alternative methods include (1) excellent exposure of eyelid and anterior orbital structures, (2) familiarity to most eyelid surgeons, (3) minimal dissection with little risk to vital anatomic structures, (4) simple wound closure, and (5) excellent final cosmetic result with a scar that is well-hidden. We have utilized this technique in 24 patients with excellent results and no complications. References 1. Doxanas MT, Green WR, Arentsen JJ, et al: Lid lesions of childhood: A histopathologic survey at The Wilmer Institute (1923-1974) . J Pediatr Ophthalmol Strabismus 1976;13:7-39. 2. Nicholson DH, Green WR: Tumors of the eye, lids, and orbit in children , in Harley RD (ed): Pediatric Ophthalmology . Philadelphia, WB Saunders Co, 1983, pp 1223-1271. 3. Iliff WJ, Green WR: Orbital tumors in children , in Jakobiec FA (ed): Ocular and Adnexal Tumors . Birmingham, Ala, Aesculapius Publishing Co, 1978, pp 669-684. 4. Shields JA, Bakewell B, Augsburger JJ, et al: Space-occupying orbital masses in children . Ophthalmology 1986;93:379-384.Crossref 5. Grove AS, McCord CD Jr: Orbital disorders: Diagnosis and management , in McCord C Jr, Tanenbaum M (eds): Oculoplastic Surgery . New York, Raven Press, 1987, pp 223-256. 6. Henderson JW: Orbital Tumors . Philadelphia, WB Saunders Co, 1973, pp 86-123. 7. Leone CR Jr: Surgical approaches to the orbit . Ophthalmology 1979;86:930-941.Crossref 8. Wright JE: Surgical exploration of the orbit , in Stewart WB (ed): Ophthalmic Plastic and Reconstructive Surgery . San Francisco, American Academy of Ophthalmology, 1984, pp 309-315. 9. Howard GM: Cystic tumors , in Jones IS, Jakobiec FA (eds): Diseases of the Orbit . New York, Harper & Row Publishers Inc, 1979, pp 135-144. 10. Smith B: The anterior surgical approach to orbital tumors . Ophthalmology 1966;70:607-611. 11. Wolfley DE: The lid crease approach to the superomedial orbit . Ophthalmic Surg 1985;16:652-656. 12. Font RL: Eyelids and lacrimal drainage system , in Spencer WH (ed): Ophthalmic Pathology: An Atlas and Textbook . Philadelphia, WB Saunders Co, 1980, pp 2259-2260. 13. Jakobiec FA, Font RL: Orbit , in Spencer WH (ed): Ophthalmic Pathology: An Atlas and Textbook . Philadelphia, WB Saunders Co, 1980, pp 2482-2496. 14. Grove AS: Giant dermoid cysts of the orbit . Ophthalmology 1979;86:1513-1520.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Upper Eyelid Crease Surgical Approach to Dermoid and Epidermoid Cysts in Children

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Publisher
American Medical Association
Copyright
Copyright © 1988 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1988.01060140793058
Publisher site
See Article on Publisher Site

Abstract

Abstract • The treatment of choice for subcutaneous and orbital dermoid and epidermoid cysts in children is surgical excision. Numerous surgical approaches have been advocated to excise these lesions from the eyelid and anterosuperior orbit. Our technique for this procedure involves an approach through an upper eyelid crease incision. The advantages over alternative methods include (1) excellent exposure of eyelid and anterior orbital structures, (2) familiarity to most eyelid surgeons, (3) minimal dissection with little risk to vital anatomic structures, (4) simple wound closure, and (5) excellent final cosmetic result with a scar that is well-hidden. We have utilized this technique in 24 patients with excellent results and no complications. References 1. Doxanas MT, Green WR, Arentsen JJ, et al: Lid lesions of childhood: A histopathologic survey at The Wilmer Institute (1923-1974) . J Pediatr Ophthalmol Strabismus 1976;13:7-39. 2. Nicholson DH, Green WR: Tumors of the eye, lids, and orbit in children , in Harley RD (ed): Pediatric Ophthalmology . Philadelphia, WB Saunders Co, 1983, pp 1223-1271. 3. Iliff WJ, Green WR: Orbital tumors in children , in Jakobiec FA (ed): Ocular and Adnexal Tumors . Birmingham, Ala, Aesculapius Publishing Co, 1978, pp 669-684. 4. Shields JA, Bakewell B, Augsburger JJ, et al: Space-occupying orbital masses in children . Ophthalmology 1986;93:379-384.Crossref 5. Grove AS, McCord CD Jr: Orbital disorders: Diagnosis and management , in McCord C Jr, Tanenbaum M (eds): Oculoplastic Surgery . New York, Raven Press, 1987, pp 223-256. 6. Henderson JW: Orbital Tumors . Philadelphia, WB Saunders Co, 1973, pp 86-123. 7. Leone CR Jr: Surgical approaches to the orbit . Ophthalmology 1979;86:930-941.Crossref 8. Wright JE: Surgical exploration of the orbit , in Stewart WB (ed): Ophthalmic Plastic and Reconstructive Surgery . San Francisco, American Academy of Ophthalmology, 1984, pp 309-315. 9. Howard GM: Cystic tumors , in Jones IS, Jakobiec FA (eds): Diseases of the Orbit . New York, Harper & Row Publishers Inc, 1979, pp 135-144. 10. Smith B: The anterior surgical approach to orbital tumors . Ophthalmology 1966;70:607-611. 11. Wolfley DE: The lid crease approach to the superomedial orbit . Ophthalmic Surg 1985;16:652-656. 12. Font RL: Eyelids and lacrimal drainage system , in Spencer WH (ed): Ophthalmic Pathology: An Atlas and Textbook . Philadelphia, WB Saunders Co, 1980, pp 2259-2260. 13. Jakobiec FA, Font RL: Orbit , in Spencer WH (ed): Ophthalmic Pathology: An Atlas and Textbook . Philadelphia, WB Saunders Co, 1980, pp 2482-2496. 14. Grove AS: Giant dermoid cysts of the orbit . Ophthalmology 1979;86:1513-1520.Crossref

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Nov 1, 1988

References