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Refinement in technique for pediatric dermoid cyst excision: technical note.

Dermoid cysts are benign neoplasms that are derived from both ectoderm and mesoderm. Approximately 7 percent of all dermoid cysts occur in the head and neck1 and account for up to 9 percent of all orbital tumors, with the majority occurring in children younger than 3 years.2 When dealing with the dermoid cyst located at the lateral forehead or anterior temporal fossa, surgical treatment of the tumor is not difficult, except for the potential problems of conspicuous scarring and contour depression at the operative site. Endoscopic techniques were introduced to solve the visibility of the scar by retrohairline incision placement. However, the cost of equipment and risk of local hair loss are drawbacks. A reported upper eyelid crease approach has been described to gain access to the supraorbital rim without noticeable scar.3 Although there are many reports describing excision of dermoid cysts,nonehasdiscussedreconstructiontipswithwhich to treat the depression after excision of the tumor. Therefore, the upper eyelid crease approach plus orbital fat flap reconstruction technique is presented.