A Case of Sublingual Dermoid Cyst: Extending the Limits of the Oral Approach

We present the case of a dermoid cyst with an oral and a submental component in a 21-year-old Japanese woman who presented with complaints of a mass in the oral cavity and difficulty in chewing and swallowing solid foods for about 2 years. MRI shows a 55 × 65 mm well-circumscribed cystic mass extend...

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Main Authors: Nobuo Ohta, Tomoo Watanabe, Tsukasa Ito, Toshinori Kubota, Yusuke Suzuki, Akihiro Ishida, Seiji Kakehata, Masaru Aoyagi
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Otolaryngology
Online Access:http://dx.doi.org/10.1155/2012/634949
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author Nobuo Ohta
Tomoo Watanabe
Tsukasa Ito
Toshinori Kubota
Yusuke Suzuki
Akihiro Ishida
Seiji Kakehata
Masaru Aoyagi
author_facet Nobuo Ohta
Tomoo Watanabe
Tsukasa Ito
Toshinori Kubota
Yusuke Suzuki
Akihiro Ishida
Seiji Kakehata
Masaru Aoyagi
author_sort Nobuo Ohta
collection DOAJ
description We present the case of a dermoid cyst with an oral and a submental component in a 21-year-old Japanese woman who presented with complaints of a mass in the oral cavity and difficulty in chewing and swallowing solid foods for about 2 years. MRI shows a 55 × 65 mm well-circumscribed cystic mass extending from the sublingual area to the mylohyoid muscle. Under general anesthesia and with nasotracheal intubation, the patient underwent surgical removal of the mass. Although the cyst was large and extending mylohyoid muscle, intraoral midline incision was performed through the mucosa overlying the swelling and the cyst was separated from the surrounding tissues with appropriate traction and countertraction and successfully removed without extraoral incision. Oral approach in surgical enucleation is useful procedure to avoid cosmetic problems in large and extending mylohyoid muscle cyst.
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publishDate 2012-01-01
publisher Wiley
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series Case Reports in Otolaryngology
spelling doaj-art-21facf07a5aa49c58db8cd99514535f52025-08-20T03:54:42ZengWileyCase Reports in Otolaryngology2090-67652090-67732012-01-01201210.1155/2012/634949634949A Case of Sublingual Dermoid Cyst: Extending the Limits of the Oral ApproachNobuo Ohta0Tomoo Watanabe1Tsukasa Ito2Toshinori Kubota3Yusuke Suzuki4Akihiro Ishida5Seiji Kakehata6Masaru Aoyagi7Department of Otolaryngology, Head and Neck Surgery, Yamagata University Faculty of Medicine, 2-2-2 Iida-nishi, Yamagata 990-9585, JapanDepartment of Otolaryngology, Head and Neck Surgery, Yamagata University Faculty of Medicine, 2-2-2 Iida-nishi, Yamagata 990-9585, JapanDepartment of Otolaryngology, Head and Neck Surgery, Yamagata University Faculty of Medicine, 2-2-2 Iida-nishi, Yamagata 990-9585, JapanDepartment of Otolaryngology, Head and Neck Surgery, Yamagata University Faculty of Medicine, 2-2-2 Iida-nishi, Yamagata 990-9585, JapanDepartment of Otolaryngology, Head and Neck Surgery, Yamagata University Faculty of Medicine, 2-2-2 Iida-nishi, Yamagata 990-9585, JapanDepartment of Otolaryngology, Head and Neck Surgery, Yamagata University Faculty of Medicine, 2-2-2 Iida-nishi, Yamagata 990-9585, JapanDepartment of Otolaryngology, Head and Neck Surgery, Yamagata University Faculty of Medicine, 2-2-2 Iida-nishi, Yamagata 990-9585, JapanDepartment of Otolaryngology, Head and Neck Surgery, Yamagata University Faculty of Medicine, 2-2-2 Iida-nishi, Yamagata 990-9585, JapanWe present the case of a dermoid cyst with an oral and a submental component in a 21-year-old Japanese woman who presented with complaints of a mass in the oral cavity and difficulty in chewing and swallowing solid foods for about 2 years. MRI shows a 55 × 65 mm well-circumscribed cystic mass extending from the sublingual area to the mylohyoid muscle. Under general anesthesia and with nasotracheal intubation, the patient underwent surgical removal of the mass. Although the cyst was large and extending mylohyoid muscle, intraoral midline incision was performed through the mucosa overlying the swelling and the cyst was separated from the surrounding tissues with appropriate traction and countertraction and successfully removed without extraoral incision. Oral approach in surgical enucleation is useful procedure to avoid cosmetic problems in large and extending mylohyoid muscle cyst.http://dx.doi.org/10.1155/2012/634949
spellingShingle Nobuo Ohta
Tomoo Watanabe
Tsukasa Ito
Toshinori Kubota
Yusuke Suzuki
Akihiro Ishida
Seiji Kakehata
Masaru Aoyagi
A Case of Sublingual Dermoid Cyst: Extending the Limits of the Oral Approach
Case Reports in Otolaryngology
title A Case of Sublingual Dermoid Cyst: Extending the Limits of the Oral Approach
title_full A Case of Sublingual Dermoid Cyst: Extending the Limits of the Oral Approach
title_fullStr A Case of Sublingual Dermoid Cyst: Extending the Limits of the Oral Approach
title_full_unstemmed A Case of Sublingual Dermoid Cyst: Extending the Limits of the Oral Approach
title_short A Case of Sublingual Dermoid Cyst: Extending the Limits of the Oral Approach
title_sort case of sublingual dermoid cyst extending the limits of the oral approach
url http://dx.doi.org/10.1155/2012/634949
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