SS  Vol.4 No.3 , March 2013
Challanging Management of a Giant Sublingual Dermoid Cyst Rapidly Enlarged Throughout Pregnancy and Influence of Hormonal Factors

The authors present a case with a sublingual giant dermoid cyst, rapidly enlarged during pregnancy, which showed itself with deglutition and mild respiratory problems. Dermoid cysts (DCs) are benign lesions arising from entrapment of epithelial rests during embryogenesis. They are most frequently located in the ovaries and testes. Up to 6.9% are found in the head and neck and 1.6% within the oral cavity, representing less than 0.01% of all oral cavity cysts. They usually present early in life as asymptomatic masses with slow and progressive growth. However, they may reach a large size with a potential impact on deglutition, speech, and respiration. It is suggested that the rapid growth of DCs during pregnancy is associated with the increase of plasma levels of estrogens and progesterone. In order to eliminate respiratory and deglutition issues, it was decided to perform the surgical excision after a cesarean delivery at 29th week.

Cite this paper
M. Mesolella, E. Cantone, V. Galli and M. Iengo, "Challanging Management of a Giant Sublingual Dermoid Cyst Rapidly Enlarged Throughout Pregnancy and Influence of Hormonal Factors," Surgical Science, Vol. 4 No. 3, 2013, pp. 216-218. doi: 10.4236/ss.2013.43041.

[1]   M. Yilmaz, H. Vayvada and C. Demirdover, “Dermoid Cyst at the Suprasternal Notch,” Annals of Plastic Surgery, Vol. 45, No. 3, 2000, pp. 343-345. doi:10.1097/00000637-200045030-00027

[2]   S. Fuchshuber, G. Grevers and W. J. Issing, “Dermoid Cyst of the Floor of the Mouth—A Case Report,” European Archives of Oto-Rhino-Laryngology, Vol. 259, No. 2, 2002, pp. 60-62. doi:10.1007/ s004050100413

[3]   W. S. Gibson Jr. and N. A. Fenton, “Congenital Sublingual Dermoid Cysts,” Archives of Otolaryngology—Head & Neck Surgery, Vol. 108, No. 11, 1982, pp. 745-747. doi:10.1001/archotol. 1982.00790590067018

[4]   V. Rajayogeswaran and J. W. Evenson, “Epidermoid Cyst of the Buccal Mucosa,” Oral Surgery, Oral Medicine, Oral Pathology, Vol. 67, No. 2, 1989, pp. 181-184. doi:10.1016/0030-4220(89)90326-5

[5]   D. Bloom, D. Carvalho, J. Edmonds, et al., “Neonatal Dermoid Cyst of the Floor of the Mouth Extending to the Midline Neck,” Archives of Otolaryngology—Head & Neck Surgery, Vol. 128, No. 1, 2002, pp. 68-70.

[6]   M. Tuz, H. Dogru, K. Uygur and B. Baykal, “Rapidly Growing Sublingual Dermoid Cyst throughout Pregnancy,” American Journal of Otolaryngology, Vol. 24, No. 5, 2003, pp. 334-337. doi:10.1016/S0196-0709(03)00051-6

[7]   N. Papadogeorgakis, E. F. Kalfarentzos, C. Vourlakou and C. Alexandridis, “Surgical Management of a Large Median Dermoid Cyst of the Neck Causing Air Way Obstruction. A Case Report,” Oral and Maxillofacial Surgery, Vol. 13, No. 3, 2009, pp. 181-184. doi:10.1007/s10006-009-0165-5