A Toddler With a Fixed Brow Mass

Seongmu Lee, MD; Michael T. Yen, MD; Kimberly G. Yen, MD

March 09, 2011

Clinical Course

CT of the head showed a well-defined, dumbbell-shaped mass straddling the left lateral orbital wall near the frontozygomatic suture, with a bony channel connecting the anterior extraorbital component to a deeper orbital component. The mass displayed an enhancing wall and a hypodense lumen (Figures 1-2).

Figure 1. Axial CT image shows a dumbbell-shaped mass straddling the left lateral orbital wall near the frontozygomatic suture.

Figure 2. Coronal CT image of the mass.

On the basis of the clinical examination and x-ray findings, the patient was diagnosed with a dermoid cyst. The patient underwent an uncomplicated anterior orbitotomy through a temporal sub-brow incision, with complete excision of the lesion (Figure 3).

Figure 3. Intraoperative photo after complete excision of the dermoid cyst shows a full-thickness, bony channel in the lateral orbital wall.

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A Toddler With a Fixed Brow Mass

Clinical Course

Tables

Authors and Disclosures

Authors and Disclosures

Authors

Seongmu Lee, MD

Michael T. Yen, MD

Kimberly G. Yen, MD

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