Case Report
 
Recurrent postauricular dermoid cyst: A case report
Rachana Tiwari1, Vaishali Sangole2
1Tutor, Department of ENT, Mahatma Gandhi Mission Medical College & Hospital, Kamothe, Navi Mumbai.
2Associate Professor, Department of ENT, Mahatma Gandhi Mission Medical College & Hospital, Kamothe, Navi Mumbai.

doi:10.5348/ijcri-2013-08-345-CR-4

Address correspondence to:
Dr. Vaishali Sangole
Kesar Garden, IRIS-1203, Kharghar
Sector-20, Kharghar
Navi Mumbai - 410210
India
Phone: (R) 022-27749688, Mobile: 9833322407
Email: vssangole@rediffmail.com

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How to cite this article:
Tiwari R, Sangole V. Recurrent postauricular dermoid cyst: A case report. International Journal of Case Reports and Images 2013;4(8):415–418.


Abstract
Introduction: Dermoid cysts are congenital anomalies that arise from trapped pouches of the ectoderm near the normal fold or from the surface that has failed to separate from the neural tube. Dermoid cysts are very rare in head and neck area and its presence in postauricular region is further exceptionally rare. Only a few cases have been reported. In this study, a rare case of recurrent dermoid cyst located behind the ear with abnormal gradual growth over several years is reported which to the best of our knowledge has not been reported earlier.
Case Report: A 18-year-old female presented with a swelling in the right postauricular area since six years. This swelling underwent excision six years back. Examination showed a solitary, cystic 4x3x2 cm, smooth surfaced swelling in the right postauricular area with a 2 cm ill-defined scar at the center. Ultrasonography was suggestive of a benign lesion. Fine needle aspiration cytology showed infected epidermal cyst with chronic inflammation. Through the postauricular incision an encapsulated cystic structure with embryonal cells was excised.
Conclusion: Patient sought medical advice in our case for the cosmetic reason because of the embarrassing look of the prominent unilateral ear. Her concern to avoid getting a recurrence besides cosmetic correction was successfully taken care of in our case.

Keywords: Dermoid cyst, Postauricular cyst, Congenital dermoid, Recurrent dermoid cyst


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Author Contributions
Rachana Tiwari – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Vaishali Sangole – Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© Rachana Tiwari et al. 2013; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.)