Hostname: page-component-78c5997874-s2hrs Total loading time: 0 Render date: 2024-11-10T08:12:09.806Z Has data issue: false hasContentIssue false

Sublingual dermoid cysts: case report and review of the literature

Published online by Cambridge University Press:  07 September 2015

E Kyriakidou*
Affiliation:
Academic Unit of Oral and Maxillofacial Surgery and Oral Medicine, School of Clinical Dentistry, University of Sheffield, UK
T Howe
Affiliation:
Department of Oral and Maxillofacial Surgery, Sheffield Teaching Hospitals, UK
B Veale
Affiliation:
Department of Oral and Maxillofacial Surgery, Sheffield Teaching Hospitals, UK
S Atkins
Affiliation:
Academic Unit of Oral and Maxillofacial Surgery and Oral Medicine, School of Clinical Dentistry, University of Sheffield, UK
*
Address for correspondence:Miss Elena Kyriakidou, School of Clinical Dentistry, University of Sheffield, 19 Claremont Crescent, Sheffield S10 2TA, UK E-mail: [email protected]

Abstract

Background:

Dermoid cysts in the floor of the mouth are relatively uncommon developmental lesions. They are thought to arise in the midline and along the lines of embryonic fusion of the facial processes containing ectodermal tissue.

Case report:

A 17-year-old female presented with a 3-month history of a growing, progressive swelling in the mouth floor. Clinical examination revealed a rather large symmetrical, soft swelling in the mouth floor, displacing the tongue superiorly. The fast growing nature and size of the lesion raised suspicion of potential compromise to the airway. Surgical excision was therefore performed.

Conclusion:

Differential diagnosis of cystic lesions in the floor of the mouth is of paramount importance, as the recommended surgical techniques vary depending on the anatomical position of the lesions. The intraoral approach is preferred for those lesions that do not extend beyond the mylohyoid muscle boundaries; this leads to a satisfactory cosmetic and functional outcome.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 2015 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1Makos, C, Noussios, G, Peios, M, Gougousis, S, Chouridis, P. Dermoid cysts of the floor of the mouth: two case reports. Case Rep Med 2011;2011:362170CrossRefGoogle ScholarPubMed
2Pan, M, Nakamura, YC, Clark, M, Eisig, S. Intraoral dermoid cyst in an infant: a case report. J Oral Maxillofac Surg 2011;69:1398–402CrossRefGoogle Scholar
3Duval, M, Al-Macki, K, Chen, M-F, Chauvin, PJ, Faingold, R, Manoukian, JJ. Infected dermoid cyst of the tongue with a sinus tract to the submental skin. Int J Pediatr Otorhinolaryngol 2007;2:176–9CrossRefGoogle Scholar
4Howell, CJ. The sublingual dermoid cyst. Report of five cases and review of the literature. Oral Surg Oral Med Oral Pathol 1985;59:578–80CrossRefGoogle ScholarPubMed
5Menditti, D, Laino, L, Ferrara, N, Baldi, A. Dermoid cyst of the mandibula: a case report. Cases J 2008;1:260CrossRefGoogle ScholarPubMed
6New, GB, Erich, JB. Dermoid cysts of the head and neck. Surg Gynecol Obst 1937;65:4855Google Scholar
7MacNeil, SD, Moxham, JP. Review of floor of mouth dysontogenic cysts. Ann Otol Rhinol Laryngol 2010;119:165–73CrossRefGoogle ScholarPubMed
8Meyer, I. Dermoid cysts (dermoids) of the floor of the mouth. Oral Surg Oral Med Oral Pathol 1955;8:1149–64CrossRefGoogle ScholarPubMed
9King, RC, Smith, BR, Burk, JL. Dermoid cyst in the floor of the mouth. Review of the literature and case reports. Oral Surg Oral Med Oral Pathol 1994;78:567–76CrossRefGoogle ScholarPubMed
10Gordon, PE, Faquin, WC, Lahey, E, Kaban, LB. Floor-of-mouth dermoid cysts: report of 3 variants and a suggested change in terminology. J Oral Maxillofac Surg 2013;71:1034–41CrossRefGoogle Scholar
11Pryor, SG, Lewis, JE, Weaver, AL, Orvidas, LJ. Pediatric dermoid cysts of the head and neck. Otolaryngol Head Neck Surg 2005;132:938–42CrossRefGoogle ScholarPubMed
12Baker, BR, Mitchell, DF. The pathogenesis of epidermoid implantation cysts. Oral Surg Oral Med Oral Pathol 1965;19:494501CrossRefGoogle ScholarPubMed
13Erich, JB, Johnsen, DS. Congenital dermoid cyst. Am J Surg 1953;85:104–7CrossRefGoogle ScholarPubMed
14Bradley, PJ. The complex nasal dermoid. Head Neck 1983;5:469–73CrossRefGoogle ScholarPubMed
15Pratt, LW. Midline cysts of the nasal dorsum: embryologic origin and treatment. Laryngoscope 1965;75:968–80CrossRefGoogle ScholarPubMed
16Rahbar, R, Shah, P, Mulliken, JB, Robson, CD, Perez-Atayde, AR, Proctor, MR et al. The presentation and management of nasal dermoid: a 30-year experience. Arch Otolaryngol Head Neck Surg 2003;129:464–71CrossRefGoogle Scholar
17Hitchin, AD, Smith, GA. The sequelae in a case of sublingual dermoid cyst with ankyloglossia. Br J Oral Surg 1970;8:175–8CrossRefGoogle Scholar
18Ohta, N, Watanabe, T, Ito, T, Kubota, T, Suzuki, Y, Ishida, A et al. A case of sublingual dermoid cyst: extending the limits of the oral approach. Case Rep Otolaryngol 2012;2012:634949Google ScholarPubMed
19Mesolella, M, Cantone, E, Galli, V, Iengo, M. Challenging management of a giant sublingual dermoid cyst rapidly enlarged throughout pregnancy and influence of hormonal factors. Surgical Science 2013;4:216–18CrossRefGoogle Scholar
20Boko, E, Amaglo, K, Kpemissi, E. A bulky dermoid cyst of the floor of the mouth. Eur Ann Otorhinolaryngol Head Neck Dis 2014;131:131–4CrossRefGoogle ScholarPubMed
21Jadwani, S, Misra, B, Kallianpur, S, Bansod, S. Dermoid cyst of the floor of the mouth with abundant hair: a case report. J Maxillofac Oral Surg 2009;8:388–9CrossRefGoogle ScholarPubMed
22Ho, MW, Crean, SJ. Simultaneous occurrence of sublingual dermoid cyst and oral alimentary tract cyst in an infant: a case report and review of the literature. Int J Paediatr Dent 2003;13:441–6CrossRefGoogle Scholar
23El-Hakim, IE, Alyamani, A. Alternative surgical approaches for excision of dermoid cyst of the floor of mouth. Int J Oral Maxillofac Surg 2008;37:497–9CrossRefGoogle ScholarPubMed
24McGregor, IA. Symphyseal mandibular osteotomy in the approach to sublingual dermoid cyst. Br J Plast Surg 1991;44:544–5CrossRefGoogle ScholarPubMed
25Longo, F, Maremonti, P, Mangone, GM, De Maria, G, Califano, L. Midline (dermoid) cysts of the floor of the mouth: report of 16 cases and review of surgical techniques. Plast Reconstr Surg 2003;112:1560–5CrossRefGoogle ScholarPubMed
26Tsirevelou, P, Papamanthos, M, Chlopsidis, P, Zourou, I, Skoulakis, C. Epidermoid cyst of the floor of the mouth: two case reports. Cases J 2009;2:9360CrossRefGoogle ScholarPubMed