Arch Craniofac Surg.  2019 Apr;20(2):116-120. 10.7181/acfs.2018.02320.

Combined extracranial and intracranial approach for resection of dermoid cyst of the sphenoid bone with a cutaneous sinus tract across the frontal branch of the facial nerve

Affiliations
  • 1Department of Plastic and Reconstructive Surgery, International University of Health and Welfare Hospital, Nasushiobara, Japan. ishinao0916@gmail.com
  • 2Department of Plastic and Reconstructive Surgery, Keio University, Tokyo, Japan.

Abstract

Frontotemporal dermoid cysts with a cutaneous sinus tract in the sphenoid bone are rarely found, and furthermore, the spreading of these cysts across the frontal branch of the facial nerve has not been reported. Herein, we present a 5-year-old case of a dermoid cyst successfully resected with preservation of this nerve using a combined extracranial and intracranial approach. This approach is recommended for a safe and radical resection of the lesion and for securing an aesthetic outcome.

Keyword

Dermoid cyst; Facial nerve; Skull

MeSH Terms

Child, Preschool
Dermoid Cyst*
Facial Nerve*
Humans
Skull
Sphenoid Bone*
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