Transcervical approach for transmylohyoid removal of dermoid cyst of the floor of the mouth
DOI:
https://doi.org/10.34631/sporl.167Keywords:
dermoid cyst, neck, mouth floor, teratoma, surgical techniqueAbstract
There are some controversies in the literature between exclusive intraoral or combined intraoral and cervical surgical approaches to transmylohyoid mouth floor dermoid cysts removal, especially when there is a large cyst. We report the case of a 46-year-old male presenting a giant transmylohyoid dermoid cyst which completely occupied both sublingual and submandibular spaces. The patient underwent a surgical treatment by exclusive cervicotomy with adequate exposition of the sublingual space without oral incisions. Discussion is focused on the unusual surgical approach employed and on how it compares to others reported surgical approaches for mouth floor dermoid cysts.
References
Teszler ET, El-Naaj IA, Emodi O, Luntz M, et al. Dermoid cysts of the lateral floor of the mouth: a comprehensive anatomo-surgical classification of cysts of the oral floor. J Oral Maxillofac Surg 2007;65(2):327-32
Al-Khateeb TH, Al Zoubi F. Congenital neck masses: a descriptive retrospective study of 252 cases. J Oral Maxillofac Surg 2007; 65(11):2242-7
Meyer I. Dermoid cysts (dermoids) of the floor of the mouth. Oral Surg Oral Med Oral Pathol 1955; 8(11):1149-64
Longo F, Maremonti P, Mangone GM, De Maria G, et al. Midline (dermoid) cysts of the floor of the mouth: report of 16 cases and review of surgical techniques. Plast Reconstr Surg 2003; 112(6):1560-5
Di Francesco A, Chiapasco M, Biglioli F, Ancona A. Intraoral approach to large dermoid cysts of the floor of the mouth: a technical note. J Oral Maxillofac Surg 1995; 24(3):233-5
Armstrong JE, Darling MR, Bohay RN, Cobb G, et al. Trans-geniohyoid dermoid cyst: considerations on a combined oral and dermal surgical approach and histogenesis. J Oral Maxillofac Surg 2006; 64(12):1825-30
Devine JC, Jones DC. Carcinomatous transformation of a sublingual dermoid cyst. A case report. Int J Oral Maxillofac Surg 2000; 29(2):126-7
El-Hakim IE, Alyamani A. Alternative surgical approaches for excision of dermoid cyst of the floor of the mouth. Int J Oral Maxillofac Surg 2008; 37(5):497-9