J Korean Ophthalmol Soc > Volume 58(2); 2017 > Article
Journal of the Korean Ophthalmological Society 2017;58(2):208-212.
DOI: https://doi.org/10.3341/jkos.2017.58.2.208    Published online February 15, 2017.
Frontotemporal Dermoid Cyst with Sinus Tract in a Child.
Jeong Min Kwon, Jae Woo Lee, Jung Hyo Ahn
1Department of Ophthalmology, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, Yangsan, Korea. jhan77@hanmail.com
2Department of Plastic and Reconstructive Surgery, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, Yangsan, Korea.
공동터널을 동반한 이마측두부위의 소아 유피낭종
권정민1⋅이재우2⋅안정효1
부산대학교 의학전문대학원 양산부산대학교병원 안과학교실1, 부산대학교 의학전문대학원 양산부산대학교병원 성형외과학교실2
Correspondence:  Jung Hyo Ahn,
Email: jhan77@hanmail.com
Received: 17 November 2016   • Revised: 12 December 2016   • Accepted: 17 January 2017
Abstract
PURPOSE
To report the treatment results of a frontotemporal dermoid cyst with a cutaneous fistula and sinus tract that caused recurrent periorbital cellulitis in a child. CASE SUMMARY: A 4-year-old girl who presented with left orbital swelling and tenderness visited our hospital. She had a cutaneous fistula with a small amount of purulent discharge at the left frontotemporal area. Orbital computed tomography scans showed a well-defined low density lesion in the fronto-zygomatic suture, and there was a bony defect in the left greater wing of the sphenoid bone of the orbit. Orbital magnetic resonance imaging showed a cutaneous fistula and sinus tract that extended into the middle cranial fossa. The patient was treated with intravenous antibiotics until the inflammation was resolved. Surgery was performed to remove the dermoid cyst with sinus tract. After surgery, there was no evidence of recurrence, and complications included neurologic and ophthalmic symptoms. CONCLUSIONS: Orbitofacial lesions, particularly frontotemporal cutaneous fistulas that present with recurrent discharge, should be regarded with suspicion in cases of deep extended dermoid cysts with sinus tract. Additionally, imaging tests should be carefully conducted before surgery.
Key Words: Dermoid cyst;Fistula;Periorbital cellulitis;Sinus tract
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