Upper eyelid crease surgical approach to dermoid and epidermoid cysts in children
J. W. Kronish and R. K. Dortzbach
Department of Ophthalmology, University of Wisconsin School of Medicine, Madison 53792.
The treatment of choice for subcutaneous and orbital dermoid and epidermoid
cysts in children is surgical excision. Numerous surgical approaches have
been advocated to excise these lesions from the eyelid and anterosuperior
orbit. Our technique for this procedure involves an approach through an
upper eyelid crease incision. The advantages over alternative methods
include (1) excellent exposure of eyelid and anterior orbital structures,
(2) familiarity to most eyelid surgeons, (3) minimal dissection with little
risk to vital anatomic structures, (4) simple wound closure, and (5)
excellent final cosmetic result with a scar that is well-hidden. We have
utilized this technique in 24 patients with excellent results and no
complications.
