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Lookup NU author(s): Peter Hodgkinson
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Congenital orbitofacial dermoid cysts are epithelial lined structures of ectodermal origin that may be associated with sinus tracts and variable deep extension. Midline lesions may extend intracranially, while lateral lesions are thought never to do so. Consequently only midline lesions are usually imaged prior to surgery.We describe a lateral dermoid sinus communicating with an intracerebral dermoid cyst within the middle cranial fossa in a 3 year-old with recurrent periorbital cellulitis and intermittent discharge from a small pimple in the temporal region.This case demonstrates that some lateral "dermoids" need to be treated with more caution if there are unusual features such as dimpling, discharge of material or recurrent wider infection, and preoperative imaging should be carried out to exclude intracranial extension. (C) 2012 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.
Author(s): Barnard AR, Jones AP, Hodgkinson PD, Jenkins AJ
Publication type: Article
Publication status: Published
Journal: Journal of Plastic, Reconstructive & Aesthetic Surgery
Year: 2012
Volume: 65
Issue: 7
Pages: E185-E188
Print publication date: 25/02/2012
ISSN (print): 1748-6815
ISSN (electronic): 1878-0539
Publisher: Churchill Livingstone
URL: http://dx.doi.org/10.1016/j.bjps.2012.02.010
DOI: 10.1016/j.bjps.2012.02.010
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