Mandibulotomy - safe and cosmetically best approach for large size sublingual tumours
Keywords:Dermoid, Sublingual, Mandibulotomy, Transmandibular, Transoral
Epidermoid and dermoid cysts are benign lesions encountered throughout the body, with 7% occurring in the head and neck area and 1.6% within the oral cavity. They represent less than 0.01% of all oral cavity cysts. We report a case of sublingual dermoid cyst with an oral and submental component in a 22 year old female who presented with complaint of painless swelling in the midline of neck since birth, later diagnosed as sublingual dermoid. Conventionally either intraoral or extraoral approaches are used for its excision. In this report we are presenting our experience with transoral approach. The approach was safer in regard to any injury to the vital structures, easy access and was cosmetically better for the patient. So it is better than the previous approaches for large size sublingual tumours.
Turetschek K, Hospodka H, Steiner E. Case report: epidermoid cyst of the floor of the mouth: diagnostic imaging by sonography, computed tomography and magnetic resonance imaging. Br J Radiol. 1995;68:205-7.
Rajayogeswaran V, Eveson JW. Epidermoid cyst of the buccal mucosa. Oral Surg Oral Med Oral Pathol. 1989;67:181-4.
Howell CJT. The sublingual dermoid cyst: report of five cases and review of the literature. Oral Surg Oral Med Oral Pathol. 1985;59:578.
Zachariades N, Skoura-Kafoussia C. A life threatening epidermoid cyst of the floor of the mouth: report of a case. J Oral Maxillofac Surg. 1990;48:400.
Longo 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;112:1560-5.
Yilmaz I, Yilmazer C, Yavuz H, Bal N, Ozluoglu LN. Giant sublingual epidermoid cyst: a report of two cases. J Laryngol Otol. 2006;120:E19.
Calderon S, Kaplan I. Concomitant sublingual and submental epidermoid cysts: a case report. J Oral Maxillofac Surg. 1993;51:790-2.
Walstad WR, Solomon JM, Schow SR, Ochs MW. Midline cystic lesion of the floor of the mouth. J Oral Maxillofac Surg. 1998;56:70-4.