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Case ReportPeer-reviewedOpen Access · CC BY-NC-SA 4.0

Transoral microscopic approach to epidermoid cyst in submandibular space

Abhishek Bhardwaj1, Areej Moideen2, Arya V3, Manu Malhotra4, Madhu priya5, Saurabh Varshney6, Joyson Antony Xavier7

  1. 1 M.S. (ENT), DNB, Assistant Professor, Department of Otorhinolaryngology & Head-Neck Surgery, All India Institute of Medical Sciences, Rishikesh, India
  2. 2 MBBS, Junior Resident, Department of Otorhinolaryngology & Head-Neck Surgery, All India Institute of Medical Sciences, Rishikesh, India (corresponding author)
  3. 3 MBBS, Junior Resident, Department of Otorhinolaryngology & Head-Neck Surgery, All India Institute of Medical Sciences, Rishikesh, India
  4. 4 M.S. (ENT), Additional Professor, Department of Otorhinolaryngology & Head-Neck Surgery, All India Institute of Medical Sciences, Rishikesh, India
  5. 5 M.S. (ENT), DNB, Associate Professor, Department of Otorhinolaryngology & Head-Neck Surgery, All India Institute of Medical Sciences, Rishikesh, India
  6. 6 M.S. (ENT), Professor and Head, Department of Otorhinolaryngology & Head-Neck Surgery, All India Institute of Medical Sciences, Rishikesh, India
  7. 7 Junior Resident, Department of Otorhinolaryngology & Head-Neck Surgery, All India Institute of Medical Sciences, Rishikesh, India.

DOI: 10.5281/zenodo.4584503 · Published 2020-10-25 · pp. 23-26

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Abstract

Dermoid cysts are developmental anomalies that arise due to defect in the fusion of embryonic lateral mesenchymal approaches during fifth week of embryonic development. Dermoid cysts can be further subdivided into epidermoid , dermoid and teratoid cysts based on the lining epithelium and contents .We present an unusual case of 32 year old female who presented with a swelling in submandibular space, for whom an initial differential diagnosis of plunging ranula was made. The patient underwent an intraoral microscopic excision of tumor under GA following cytology and radiological investigations .Here we would like to stress the importance of multidisciplinary approach to the disease inorder to confirm the diagnosis, considering the manifold differentials and plan surgical approach. Furthermore, the benefits of undergoing an intra oral microscopic excision of the tumor, as it provides better cosmesis , functional outcome and reduced hospital stay.

Keywords: Floor of mouth; Submandibular space; Microscopic excision; Epidermoid cysts; Dermoid cysts.