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Oral Maxillofac Surg Clin North Am. 2012 Aug;24(3):417-25. doi: 10.1016/j.coms.2012.04.006. Epub 2012 Jun 7.

Craniofacial and orbital dermoids in children.

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Department of Oral and Maxillofacial Surgery, University of North Carolina Chapel Hill, CB 7450, 101 Manning Drive, Chapel Hill, NC 27599, USA.


Dermoid cysts are congenital lesions that commonly arise from nondisjunction of surface ectoderm from deeper neuroectodermal structures. They tend to be found along planes of embryonic closure. Classification by site is helpful for diagnostic planning and surgical treatment. A distinction can be made between frontotemporal, orbital, frontoethmoidal, and calvarial lesions. The risk of extension into deeper tissues must be determined before surgical intervention. Simple lesions are amenable to direct excision. Deeper lesions often require a coordinated surgical approach between a neurosurgeon and craniofacial surgeon after thorough radiographic imaging. Follow-up through the developmental years is recommended for complex dermoid lesions.

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