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Sublingual dermoid cysts: case report and review of the literature

Published online by Cambridge University Press:  07 September 2015

E Kyriakidou ,
T Howe ,
B Veale  and
S Atkins
E Kyriakidou*
Affiliation:
Academic Unit of Oral and Maxillofacial Surgery and Oral Medicine, School of Clinical Dentistry, University of Sheffield, UK
T Howe
Affiliation:
Department of Oral and Maxillofacial Surgery, Sheffield Teaching Hospitals, UK
B Veale
Affiliation:
Department of Oral and Maxillofacial Surgery, Sheffield Teaching Hospitals, UK
S Atkins
Affiliation:
Academic Unit of Oral and Maxillofacial Surgery and Oral Medicine, School of Clinical Dentistry, University of Sheffield, UK
*
Address for correspondence:Miss Elena Kyriakidou, School of Clinical Dentistry, University of Sheffield, 19 Claremont Crescent, Sheffield S10 2TA, UK E-mail: ekyriakidou1@sheffield.ac.uk
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Abstract

Background:

Dermoid cysts in the floor of the mouth are relatively uncommon developmental lesions. They are thought to arise in the midline and along the lines of embryonic fusion of the facial processes containing ectodermal tissue.

Case report:

A 17-year-old female presented with a 3-month history of a growing, progressive swelling in the mouth floor. Clinical examination revealed a rather large symmetrical, soft swelling in the mouth floor, displacing the tongue superiorly. The fast growing nature and size of the lesion raised suspicion of potential compromise to the airway. Surgical excision was therefore performed.

Conclusion:

Differential diagnosis of cystic lesions in the floor of the mouth is of paramount importance, as the recommended surgical techniques vary depending on the anatomical position of the lesions. The intraoral approach is preferred for those lesions that do not extend beyond the mylohyoid muscle boundaries; this leads to a satisfactory cosmetic and functional outcome.

Keywords

Dermoid CystMouth FloorDiagnosis, DifferentialSurgery, Oral
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 129 , Issue 10 , October 2015 , pp. 1036 - 1039
Copyright
Copyright © JLO (1984) Limited 2015 

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