Format

Send to

Choose Destination
J Eur Acad Dermatol Venereol. 2009 Aug;23(8):887-90. doi: 10.1111/j.1468-3083.2009.03191.x. Epub 2009 May 3.

A new method for facial epidermoid cyst removal with minimal incision.

Author information

1
Department of Dermatology, Kaohsiung Medical University Hospital, Taiwan.

Abstract

BACKGROUND:

Facial epidermoid cyst is a common benign epithelial tumour frequently seen in young or middle-aged people and may cause aesthetic disability. Surgical excision is the most frequently used method but may result in obvious scar.

OBJECTIVE:

To improve cosmetic result of removing facial epidermoid cyst through minimal incision surgery.

METHODS:

Twenty-two cases of facial epidermoid cysts ranging from 0.5 to 1.4 cm in diameter were treated. The skin above the epidermoid cysts was infiltrated with local 0.1-cc 1% xylocaine anaesthetic by using a 26-gauge needle first, then 3-mm incisions were made with a No.11 surgical blade. The cystic contents and its capsule were then squeezed out through the small incision and the underlying connective tissue was chemically cauterized by 20% trichloroacetic acid. The incision wounds were left unsutured.

RESULT:

Minimal incision method successfully treated 16 out of the 22 epidermoid cyst cases that ranged from 0.5 to 1 cm in diameter. And only one out of six was successfully treated for diameters greater than 1.1 cm.

CONCLUSION:

The proposed method can minimize the scar when treating facial epidermal inclusion cysts that are less than 1 cm and obtained better cosmetic results.

[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Wiley
Loading ...
Support Center