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Abstract
Dermoid cysts are benign congenital tumors of ectodermal origin that typically arise along the midline where embryonic structures fuse but can also occur as acquired lesions. Dermoid cysts rarely occur in the oral and maxillofacial region. They are mostly asymptomatic swellings that are slow and progressive. They are often misdiagnosed as a plunging ranula and thus require differention from one another as they have different treatment strategies. Here, we present a rare presentation of a sublingual dermoid cyst that poses a significant diagnostic challenge.
Dermoid cysts are benign congenital tumors of ectoderm origin. A ranula is a type of mucocele, a disease of the sublingual salivary gland. Here we report a case of submental dermoid mimicking ranula that was treated by complete surgical excision via transcervical approach.
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References
- Julapalli MR, Cohen BA, Hollier LH, et al. Congenital, ill-defined, yellowish plaque: the nasal dermoid. Pediatr Dermatol 2006;23(6):556-9.
- Nakajima K, Korekawa A, Nakano H, et al. Subcutaneous dermoid cysts on the eyebrow and neck. Pediatr Dermatol 2019;36(6):999-1001.
- Nguyen MT, Orloff LA. Successful ablation of plunging ranula by ultrasound-guided percutaneous ethanol injection. Laryngoscope 2017;127(10):2239-41.
- Olojede ACO, Ogundana OM, Emeka CI, et al. Plunging ranula:surgical management of case series and the literature review. Clin Case Rep 2018;6(1):109-14.
- Kokong D, Iduh A, Chukwu I, et al. Ranula: current concept of pathophysiologic basis and surgical management options. World J Surg 2017;41(6):1476-81.
- Orozco-Covarrubias L, Lara-Carpio R, Saez-DeOcariz M, et al. Dermoid cysts: a report of 75 pediatric patients. Pediatr Dermatol 2013;30(6):706-11.
- Pollard ZF, Calhoun J. Deep orbital dermoid with draining sinus. Am J Ophthalmol 1975;79(2):310-3.
- Koeller KK, Adair CF, Smirniotopoulos JG. Congenital cystic masses of the neck: Radiologic pathologic correlation. Radiographics 1996;19:121-46.
- Katz AD. Midline Dermoid Tumors of the Neck. Arch Surg 1974;109(6):822-3.
- New GB, Erich JB. Dermoid cysts of the head and neck. Surg Gynecol Obstet 1937;65:48.
- Taylor BW, Erich JB, Dockerty MB. Dermoids of the head and neck. Minn Med 1966;49:1535-40.
- Meyer I. Dermoid cysts (dermoids) of the floor of the mouth. Oral Surg Oral Med Oral Pathol 1955;8(11):1149–64.
- Puricelli E, Barreiro BO, Quevedo AS, et al. Occurrence of dermoid cyst in the floor of the mouth: the importance of differential diagnosis in pediatric patients. Appl Oral Sci 2017;25:341-5.
- Wadhera R, Sahana P, Dharanipathy S, Vashist A, Gupta K: Dermoid cyst of floor of mouth mimickingplunging ranula. J Med Sci Clin Res 2019;7:599-602.
- Emmanuel S, Inban P, Akuma O, et al. An atypical case of intracranial dermoid cyst in an adult female: acase report and literature review. Cureus 2023;15:e39807.
- King 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(5):567-76.
- Lyly A, Castren E, Aronniemi J, et al. Plunging ranula-patient characteristics, treatment, and comparison between different populations. Acta Otolaryngol 2017;137(12):1271-4.
References
Julapalli MR, Cohen BA, Hollier LH, et al. Congenital, ill-defined, yellowish plaque: the nasal dermoid. Pediatr Dermatol 2006;23(6):556-9.
Nakajima K, Korekawa A, Nakano H, et al. Subcutaneous dermoid cysts on the eyebrow and neck. Pediatr Dermatol 2019;36(6):999-1001.
Nguyen MT, Orloff LA. Successful ablation of plunging ranula by ultrasound-guided percutaneous ethanol injection. Laryngoscope 2017;127(10):2239-41.
Olojede ACO, Ogundana OM, Emeka CI, et al. Plunging ranula:surgical management of case series and the literature review. Clin Case Rep 2018;6(1):109-14.
Kokong D, Iduh A, Chukwu I, et al. Ranula: current concept of pathophysiologic basis and surgical management options. World J Surg 2017;41(6):1476-81.
Orozco-Covarrubias L, Lara-Carpio R, Saez-DeOcariz M, et al. Dermoid cysts: a report of 75 pediatric patients. Pediatr Dermatol 2013;30(6):706-11.
Pollard ZF, Calhoun J. Deep orbital dermoid with draining sinus. Am J Ophthalmol 1975;79(2):310-3.
Koeller KK, Adair CF, Smirniotopoulos JG. Congenital cystic masses of the neck: Radiologic pathologic correlation. Radiographics 1996;19:121-46.
Katz AD. Midline Dermoid Tumors of the Neck. Arch Surg 1974;109(6):822-3.
New GB, Erich JB. Dermoid cysts of the head and neck. Surg Gynecol Obstet 1937;65:48.
Taylor BW, Erich JB, Dockerty MB. Dermoids of the head and neck. Minn Med 1966;49:1535-40.
Meyer I. Dermoid cysts (dermoids) of the floor of the mouth. Oral Surg Oral Med Oral Pathol 1955;8(11):1149–64.
Puricelli E, Barreiro BO, Quevedo AS, et al. Occurrence of dermoid cyst in the floor of the mouth: the importance of differential diagnosis in pediatric patients. Appl Oral Sci 2017;25:341-5.
Wadhera R, Sahana P, Dharanipathy S, Vashist A, Gupta K: Dermoid cyst of floor of mouth mimickingplunging ranula. J Med Sci Clin Res 2019;7:599-602.
Emmanuel S, Inban P, Akuma O, et al. An atypical case of intracranial dermoid cyst in an adult female: acase report and literature review. Cureus 2023;15:e39807.
King 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(5):567-76.
Lyly A, Castren E, Aronniemi J, et al. Plunging ranula-patient characteristics, treatment, and comparison between different populations. Acta Otolaryngol 2017;137(12):1271-4.