Abstract ID: 26-191

Long term effects of incomplete orbital mass excision

Author: nur khatib
Base Hospital / Institution: ha emek medeical center

Presentation Type: ePoster Presentation

Purpose

Dermoid cysts are common benign orbital tumors, particularly in children, and are typically managed with surgical excision. Recurrence, although uncommon, can occur, often due to incomplete removal or residual cyst wall fragments, especially if the cyst is adherent to bone sutures or deep orbital tissues


Methods

A case reports presentation and follow up


Results

a case reports presentation of recurrent orbital dermoid cysts revealed that patient often presented with periorbital mass, redness, swelling, tenderness, cutaneous fistulas, or eyelid deformities. The interval between initial surgery and recurrence is 2.5 years. Imaging, particularly CT scans, played a crucial role in identifying the extent and characteristics of the recurrent cysts, such as hypodense or isodense lesions, dumbbell shapes near the zygomaticofrontal suture, or tunnel-like extensions within the orbital wall


Conclusion

recurrence of orbital dermoid cysts is primarily related to incomplete removal or misdiagnosis. Proper imaging, careful surgical planning, and complete excision of the cyst and its wall are critical to prevent recurrence. Long-term follow-up is recommended due to the potential for late recurrence


Additional Authors

First name Last name Base Hospital / Institution
Daniel Briscoe ha emek medical center

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