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Occurrence of dermoid cyst in the floor of the mouth : the importance of differential diagnosis in pediatric patients

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Occurrence of dermoid cyst in the floor of the mouth : the importance of differential diagnosis in pediatric patients

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Título Occurrence of dermoid cyst in the floor of the mouth : the importance of differential diagnosis in pediatric patients
Autor Puricelli, Edela
Barreiro, Bernardo Ottoni Braga
Quevedo, Alexandre Silva de
Ponzoni, Deise
Abstract Lesions in the floor of the mouth can be a challenging diagnosis due to the variety of pathological conditions that might be found in this area. Within a broad range of lesions, attention has to be addressed to those that require specific management, such as a dermoid cyst (DC) and a ranula. Especially in pediatric patients, in whom the failure of diagnosis can postpone the correct treatment and cause sequelae later in life. DC, a developmental anomaly, is managed primarily by surgical resection. On the other hand, ranula is a pseudocyst that may be treated by marsupialization. This article reports a large and painful lesion in the floor of the mouth in a pediatric patient. With a diagnostic hypothesis of ranula, two surgical interventions were performed, but there were recurrences of the lesion. Subsequently, the patient was referred to the Oral and Maxillofacial Surgery Unit for re-evaluation. Computed tomography showed a semi-transparent image suggesting a cystic formation. Another surgical procedure was performed where the lesion was completely removed. Anatomopathological analysis confirmed the diagnosis of DC. The five-year follow-up showed no signs of recurrence. This article indicates that although DC in the floor of the mouth is rare, it should be considered in the differential diagnosis of other diseases in this area. This precaution may be particularly important in the following circumstances: 1) Similar lesions that have different therapeutic approaches and, 2) To prevent future sequelae in pediatric patients.
Contido em Journal of applied oral science. Bauru. Vol. 25, no. 3 (May/June 2017), p. 341-345
Assunto Cirurgia bucal
Cisto dermóide
Cistos
[en] Child
[en] Defferential diagnosis
[en] Dermoid cyst
[en] Oral surgery
Origem Nacional
Tipo Artigo de periódico
URI http://hdl.handle.net/10183/166174
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