Abstract
Purpose:
Endoscopic excision of benign forehead masses in children aims to avoid conspicuous scarring and disfigurement. We present a video of an endoscopic-guided excision of an intraosseous dermoid cyst located in the mid-forehead.
Case Presentation:
A 10-month-old, dark-skinned boy was seen for an asymptomatic mid-forehead mass that was noted soon after birth. The mass was firm and fixed. Computed tomography scan demonstrated a 1-cm intraosseous mass in the mid-forehead consistent with a dermoid cyst. The mass did not penetrate the inner table of the cranium. The child was operated on at age 18 months by a team comprised of a pediatric general surgeon and a head and neck surgeon with extensive experience in facial plastics. The mass was removed through a single, vertical scar 2 cm above the hairline, using a combination of endoscopic and classic instruments. The procedure resulted in excellent cosmesis without any visible scar, and high parent satisfaction.
Conclusions:
Endoscopic excision of benign forehead masses results in excellent cosmesis, and can eliminate potential facial disfigurement in children.
No competing financial interests exist.
Runtime of video: 5 mins
Video presentation at the 41st Annual Meeting of the American Pediatric Surgical Association, Orlando, Florida, May 16–19, 2010.
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