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Case Report
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| Large lateral dermoid cyst mimicking plunging ranula: A case report and intraoral approach to surgical management | ||||||
| Alhassan Emil Abdulai1, Dominic Avogo2, Isaac Kwasi Nuamah3, Henry Baddoo4, Richard Kwasi Gyasi5 | ||||||
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1BDS, FWACS, FGCS, Department of Oral and Maxillofacial Surgery, University of Ghana Dental School, Korle Bu Teaching Hospital, Accra, Ghana.
2BDS, FGCS, Department of Oral and Maxillofacial Surgery, University of Ghana Dental School, Korle Bu Teaching Hospital, Accra, Ghana. 3BDS, MB, ChB, FDS, FGCS, Department of Oral and Maxillofacial Surgery, University of Ghana Dental School, Korle Bu Teaching Hospital, Accra, Ghana. 4MB, ChB, FRCA, FRCS Ed. FWACS, Department of Anaesthesia, University of Ghana Medical School, Korle Bu Teaching Hospital, Accra, Ghana. 5MB, ChB, FWACPath, FGCS, Department of Pathology, University of Ghana Medical School, Korle Bu Teaching Hospital, Accra, Ghana. | ||||||
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| How to cite this article |
| Abdulai AE, Avogo D, Nuamah IK, Baddoo H, Gyasi RK. Large lateral dermoid cyst mimicking plunging ranula: A case report and intraoral approach to surgical management. Int J Case Rep Images 2014;5(6):408–412. |
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Abstract
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Introduction:
Dermoid cysts are benign cystic teratomas with epithelial lined cavities, bearing hair follicles, hair, sebaceous glands, sweat glands, and occasionally tissues derived from the mesoderm. Dermoid cysts of the floor of the mouth are relatively rare but when they occur, are commonly restricted to one anatomic zone and in the midline region. They are treated surgically.
Case Report: We present a case of a lateral dermoid cyst mimicking a plunging ranula extending from the upper part of the neck, on the right side, upwards into the sub-mandibular region and via a hiatus in the mylohyoid muscle into the floor of the mouth, in a 24-year-old Ghanaian male. Conclusion: The treatment of dermoid cysts of the floor of the mouth is surgical, using either an intraoral, extra oral or both approaches depending on the localization and size of the mass. An intraoral approach to a successful surgical management of this very large cyst is also described. This is a rare, interesting case of a lateral dermoid cyst, unusually transcending three anatomical spaces, in an ethnic Ghanaian with a significant portion below the mylohyoid that was successfully managed using a wholly intraoral surgical approach. | |
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Keywords:
Dermoid cyst, Intraoral, Submandibular
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Author Contributions
Alhassan Emil Abdulai – 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 Dominic Avogo – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Isaac Kwasi Nuamah – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Henry Baddoo – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Richard Kwasi Gyasi – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2014 Alhassan Emil Abdulai et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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