Ahuja Rakesh, Azar Nathalie F
Department of Pediatric Ophthalmology & Strabismus, Massachusetts Eye and Ear Infirmary, Boston, MA 02114, USA.
Semin Ophthalmol. 2006 Jul-Sep;21(3):207-11. doi: 10.1080/08820530500353963.
Orbital dermoid cysts are benign congenital choristomas. They are common in pediatric population, developing adjacent to suture lines, most commonly located in antero-lateral fronto-zygomatic suture, and are slowly progressive. Complete surgical excision without rupture of cyst is the standard of care. Deep orbital cysts cause proptosis, require imaging, and may present a surgical challenge with a difficult approach. Rupture of the cyst leads to severe inflammatory reaction in surrounding tissues. Overall prognosis remains good with isolated reports of malignancy masquerading as dermoid cysts.
眼眶皮样囊肿是良性先天性迷离瘤。它们在儿科人群中很常见,在缝线附近形成,最常见于前外侧额颧缝,并且进展缓慢。完整切除囊肿且不使其破裂是治疗的标准。深部眼眶囊肿会导致眼球突出,需要进行影像学检查,手术入路可能具有挑战性。囊肿破裂会导致周围组织发生严重炎症反应。总体预后仍然良好,仅有个别报道称有恶性肿瘤伪装成皮样囊肿。