Journal of Maxillofacial and Oral Surgery

, Volume 18, Issue 2, pp 238–244 | Cite as

Dermoid Cysts of the Maxillofacial Region: Case Series

  • N. Girish KumarEmail author
  • Srimathy S. Arora
  • Ish Kumar
  • Pavneet Kaur Pandher
  • Rahul Balwan
Case Report


The maxillofacial region can be affected by a number of subcutaneous pathologic conditions that include developmental, inflammatory, infective and neoplastic entities. Many of these lesions present as a soft to firm painless swelling. Differential diagnosis of such lesions requires thorough knowledge of maxillofacial pathology as well as anatomy to come to a correct diagnosis and provide effective treatment. Misdiagnosis and improper treatment can lead to other complications and morbidity. The commonly encountered lesions include dermoid cysts, branchial cysts, lipoma and thyroglossal cyst. Dermoid cysts are dysontogenetic cysts rarely involving the maxillofacial region (1.6–7% of all dermoid cysts of the body). The most common site of involvement in the maxillofacial region is near the frontozygomatic suture followed by cervical region. Some lesions have a deep component which may involve the cranial or orbital cavities. This is a retrospective study of the cases managed at our center from 2001 to 2017. Of the 12 cases in our study, all but one was involving the floor of the mouth. There were 11 males and 1 female. Swelling was the only symptom. The patients age ranged from 16 to 34 years (Table 2). The cysts were present for a period ranging from 6 months to 5 years at the time of reporting. All cases were managed with enucleation. The patients are on follow-up with no report of recurrence. The period of follow-up was 1 to 16 years. There were no complications postoperatively.


Compliance with Ethical Standards

Conflict of interest

All authors declare that there is no conflict of interest.

Ethical approval

The work has been approved by the ethical committee of the institution, and informed written consent of all the patients was taken for the study as well as publishing of the photographs. All authors have viewed and agreed to the submission.


  1. 1.
    Rapidis AD, Economidis J, Goumas PD, Langdon JD, Skordalakis A, Tzortzatou F, Anagnostopoulos D, Matsaniotis N (1988) Tumors of the head and neck in children. A clinicopathological analysis of 1007 cases. J Craniomaxillofac Surg 16(6):279–286CrossRefGoogle Scholar
  2. 2.
    Hoffman JG, Strickland JL, Yin J (2009) Virilizing ovarian dermoid cysts with leydig cells. J Pediatr Adolesc Gyneacol 22:e39–e40CrossRefGoogle Scholar
  3. 3.
    Rahpeyma A, Khajehahmadi S, Ghasemi A (2015) Epidermoid/dermoid cysts mimicking odontogenic infection: review of literature. Rev Clin Med 2(4):190–194Google Scholar
  4. 4.
    De Ponte FS, Brunelli A, Marchetti E, Bottini DJ (2002) Sublingual epidermoid Cysts. J Craniofac Surg 13:308–310CrossRefGoogle Scholar
  5. 5.
    Al-Khateeb TH, Al-Masri NM, Al-Zoubi F (2009) Cutaneous cysts of the head and neck. J Oral Maxillofac Surg 67:52–57CrossRefGoogle Scholar
  6. 6.
    Triplett TM, Griffith A, Hatanpaa KJ, Barnett SL (2014) Dermoid cyst of the infratemporal fossa: case report and review of the literature. J Neurol Surg Rep 75:e33–e37CrossRefGoogle Scholar
  7. 7.
    Ordones AB, Fornazieri MA, Pinna FDR, Bezera TFP, Voegels RL, Sennes LV (2014) Transpterygoid approach to a dermoid cyst in the pterygopalatine fossa. Int Arch Otorhinolaryngol 18:83–86CrossRefGoogle Scholar
  8. 8.
    Akdemir G, Daglioglu E (2004) Dermoid lesions of the cavernous sinus: case report and review of the literature. Neurosurg Rev 27(4):294–298CrossRefGoogle Scholar
  9. 9.
    Shields JA, Kaden IH, Eagle RC Jr, Shields CL (1997) Orbital dermoid cysts: clinicopathologic correlations, classification and management. The (1997) Josephine Schueler Lecture. Opthal Plast Reconstr Surg 13(4):265–276CrossRefGoogle Scholar
  10. 10.
    Ariyoshi Y, Shimahara M (2003) Magnetic resonance imaging of a submental dermoid cysts: report of a case. J Oral Maxillofac Surg 61:507–510CrossRefGoogle Scholar
  11. 11.
    Vogl TJ, Steger W, Ihrler S, Ferrera P, Grevers G (1993) Cystic masses in the floor of the mouth: value of MRI imaging in planning surgery. Am J Roentgenol 161:183–186CrossRefGoogle Scholar
  12. 12.
    Al-khateeb TH, Al-Zoubi F (2007) Congenital neck masses: a descriptive retrospective study of 252 cases. J Oral Maxillofac Surg 65:2242–2247CrossRefGoogle Scholar
  13. 13.
    New GB, Erich JB (1937) Dermoid cysts of the head and neck. Surg Gynecol Obstet 65:48–55Google Scholar

Copyright information

© The Association of Oral and Maxillofacial Surgeons of India 2018

Authors and Affiliations

  1. 1.Oral and Maxillofacial SurgeryPMS College of Dental Science and ResearchThiruvananthapuramIndia
  2. 2.Oral and Maxillofacial SurgerySwami Devi Dyal Hospital and Dental CollegeBarwala, PanchkulaIndia

Personalised recommendations