Giant Dermoid Cyst of the Face: Clinical Image, Diagnosis, Surgical Management
Introduction A dermoid cyst is a benign congenital lesion resulting from inclusion of ectodermal elements during embryological development. It is lined by stratified squamous epithelium and contains skin appendages such as hair follicles and sebaceous glands. Although dermoid cysts are usually small and detected early, long-standing neglected lesions may grow to a giant size , causing significant cosmetic deformity and psychological distress. This post highlights a clinically encountered giant dermoid cyst of the face , its diagnosis, importance, and management. Clinical Presentation Long-standing, painless facial swelling Gradual increase in size over several years Smooth, well-defined, dome-shaped mass Firm to cystic in consistency Skin stretched but intact No ulceration or discharge No facial nerve weakness The images above show a giant dermoid cyst involving the left cheek , producing marked facial asymmetry. Provisional...
