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Volume 27, Issue 131, January 2023

Infected dermoid cyst at the nasion extending to the right upper eyelid

Anil Reddy¹, Suhas Jajoo², Chandrashekhar Mahakalkar³, Siddharth Mendiratta², Garima Saxena¹, Harshita J⁴

¹Jr Resident Department of General Surgery (3RD year), Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Sawangi, Wardha, Maharashtra, India
²Professor and Plastic surgeon, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Sawangi, Wardha, Maharashtra, India
³Professor and Head of Unit Department of General Surgery, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Sawangi, Wardha, Maharashtra, India
⁴Final MBBS student, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Sawangi, Wardha, Maharashtra, India

ABSTRACT

The most common age group for a dermoid cyst of the nasion is children under the age of five. These dermoid cysts are distinct from dermoid cysts seen elsewhere in the body as they have the potential to extend to cerebral structures. Our goal is to show that complete surgical excision is the only procedure that effectively removes these lesions, despite the existence of substantial anatomical features close by. We describe a 2-year-old girl who had an infected dermoid cyst that extended to her right upper eyelid near the nasion. A widespread swelling was linked to the right side of the sinus tract and the cyst was adherent to the frontonasal suture. A vertical incision near the nasion was used to carefully remove the cyst, making sure that no cyst wall was missed. There was no sign of the cyst's intracranial expansion after its aggressive removal. Similar to that, the abscess above the right upper lid and the infected sinus tract was removed. After achieving hemostasis, the wound was stitched up in layers.

Keywords: Nasion, Swelling, Infected Dermoid Cyst, Excision, Sinus tract