Dr.ASHA SAMDANI

, Dr. NEELAM PUSHKER, Dr.Rachna Meel, Dr.GUNJAN SALUJA

Abstract

A 32 year old male presented with left orbital mass for six months with a history of mass excision for the same 3 years back. Examination revealed a fixed, non tender palpable mass in supero-temporal region of left orbital rim and also in temporal fossa with fluctuations in size on palpation suggesting a communication. CT showed a well defined bilobed cyst with a communicating tract through lateral orbital rim.

A diagnosis of dumbbell dermoid involving left orbit and temporal fossa was thus made.

A planned intraoperative decompression of dermoid cyst was planned with independant removal of both the orbital and temporal fossa components along with removal and cauterisation of communicating intra-osseus sinus tract. Operative field was flushed with saline and tricot an layered closure was done. 2 year follow-up showed no recurrence. This procedure helped us avoid more invasive bone cutting orbitotomy without any risk of recurrence or postoperative inflammation.