5 Years Audit Of Pediatric Dermoid Cyst Surgery

Abstract

OBJECTIVES: The objectives of this study are “To assess age and gender wise distribution of dermoid cyst in children, their location and surgical outcomes.

Study Design: A prospective study.

Duration and Place of study. Department of Ophthalmology, Bacha Khan Medical College, Mardan, from January 01, 2019 to December 31, 2023

METHODS: This prospective study was carried out Department of Ophthalmology, Bacha Khan Medical College, Mardan, from January 01, 2019 to December 31, 2023. Universal sampling technique was used for this study. Age, gender, laterality, location of dermoid in the eye, of all pediatric patients were entered into a preformed proforma while surgical outcomes were recorded at the end of the surgery.

 RESULTS: During 5 years, 47 pediatric dermoids were excised. Of which, 26 (55.3%) were males and 21 (44.68%) were females. Age range was from 1 to 17 years. It was present on the right side in 27 (65.22%) than the left side 20 (34.78%) cases . Limbal Dermoid was present in 3 patients. Surgery was performed on all patients under general anesthesia. Cyst was removed completely in 34 patients while cyst puncture occurred in 11 patients. There was no recurrence in minimum 6 months of follow up. SPSS version 30 was used for the analysis of age, gender, laterality, location of dermoid and surgical outcomes. Gender vs Eye Involved was statistically significant: (p-value < 0.0001).

CONCLUSION: Dermoid cysts are very common periocular lesions found frequently in males and at the superotemporal or superonasal portion of the orbit. Limbal dermoid is most frequently found in inferotemporal quadrant of the globe. CT scan of the skull and orbit is must in all cases to rule out intracranial extension. Dermoid cysts should be removed in toto to avoid recurrence.