A large sublingual epidermoid cyst with parapharyngeal space extension: A case report

© 2020 IJS Publishing Group Ltd Introduction: Epidermoid and dermoid cysts in the floor of the mouth are uncommon. A large cyst can lead to functional morbidities including airway, swallowing and speech problems. The treatment of choice is surgical excision. To obtain a good result, the decision for...

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Main Authors: Hanpon Klibngern, Chanisa Pornchaisakuldee
Format: Journal
Published: 2020
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http://cmuir.cmu.ac.th/jspui/handle/6653943832/70908
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Institution: Chiang Mai University
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spelling th-cmuir.6653943832-709082020-10-14T08:44:28Z A large sublingual epidermoid cyst with parapharyngeal space extension: A case report Hanpon Klibngern Chanisa Pornchaisakuldee Medicine © 2020 IJS Publishing Group Ltd Introduction: Epidermoid and dermoid cysts in the floor of the mouth are uncommon. A large cyst can lead to functional morbidities including airway, swallowing and speech problems. The treatment of choice is surgical excision. To obtain a good result, the decision for optimal surgical technique is valuable. Case presentation: A young female patient presented with a slowly growing mass at the submandibular area and swelling in the floor of mouth. The MRI showed large sublingual cyst extended posteriorly to the parapharyngeal space. She underwent surgical excision of the cyst size 6.5 × 3.2 × 2.5 cm via an intraoral approach. The pathological examination revealed a benign stratified squamous epithelium-lined cyst with no evidence of adnexal structure consistent with an epidermoid cyst. The patient remained disease-free after two years of follow-up. Discussion: Generally, large sublingual cysts over 6 cm located or transgress below the mylohyoid muscle are removed by an extraoral approach. Our team reported the first case of a large lateral sublingual epidermoid cyst with parapharyngeal extension removed by an intraoral approach. Preoperative imaging is important for surgical approach selection. Conclusion: Successful management of sublingual epidermoid cyst extended to the parapharynx is feasible by an intraoral approach with excellent functional and cosmetic outcomes. 2020-10-14T08:44:28Z 2020-10-14T08:44:28Z 2020-01-01 Journal 22102612 2-s2.0-85086748981 10.1016/j.ijscr.2020.06.014 https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85086748981&origin=inward http://cmuir.cmu.ac.th/jspui/handle/6653943832/70908
institution Chiang Mai University
building Chiang Mai University Library
continent Asia
country Thailand
Thailand
content_provider Chiang Mai University Library
collection CMU Intellectual Repository
topic Medicine
spellingShingle Medicine
Hanpon Klibngern
Chanisa Pornchaisakuldee
A large sublingual epidermoid cyst with parapharyngeal space extension: A case report
description © 2020 IJS Publishing Group Ltd Introduction: Epidermoid and dermoid cysts in the floor of the mouth are uncommon. A large cyst can lead to functional morbidities including airway, swallowing and speech problems. The treatment of choice is surgical excision. To obtain a good result, the decision for optimal surgical technique is valuable. Case presentation: A young female patient presented with a slowly growing mass at the submandibular area and swelling in the floor of mouth. The MRI showed large sublingual cyst extended posteriorly to the parapharyngeal space. She underwent surgical excision of the cyst size 6.5 × 3.2 × 2.5 cm via an intraoral approach. The pathological examination revealed a benign stratified squamous epithelium-lined cyst with no evidence of adnexal structure consistent with an epidermoid cyst. The patient remained disease-free after two years of follow-up. Discussion: Generally, large sublingual cysts over 6 cm located or transgress below the mylohyoid muscle are removed by an extraoral approach. Our team reported the first case of a large lateral sublingual epidermoid cyst with parapharyngeal extension removed by an intraoral approach. Preoperative imaging is important for surgical approach selection. Conclusion: Successful management of sublingual epidermoid cyst extended to the parapharynx is feasible by an intraoral approach with excellent functional and cosmetic outcomes.
format Journal
author Hanpon Klibngern
Chanisa Pornchaisakuldee
author_facet Hanpon Klibngern
Chanisa Pornchaisakuldee
author_sort Hanpon Klibngern
title A large sublingual epidermoid cyst with parapharyngeal space extension: A case report
title_short A large sublingual epidermoid cyst with parapharyngeal space extension: A case report
title_full A large sublingual epidermoid cyst with parapharyngeal space extension: A case report
title_fullStr A large sublingual epidermoid cyst with parapharyngeal space extension: A case report
title_full_unstemmed A large sublingual epidermoid cyst with parapharyngeal space extension: A case report
title_sort large sublingual epidermoid cyst with parapharyngeal space extension: a case report
publishDate 2020
url https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85086748981&origin=inward
http://cmuir.cmu.ac.th/jspui/handle/6653943832/70908
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