Estomatologia, palavra derivada do grego "estoma", é o estudo da boca.
Introdução
O que você precisa saber de cara
Cisto dermoide facial é uma malformação congênita rara, geralmente benigna, que se apresenta como um nódulo palpável na face. Contém tecido dérmico e anexos, como folículos pilosos e glândulas sebáceas.
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Sinais e sintomas
O que aparece no corpo e com que frequência cada sintoma acontece
Linha do tempo da pesquisa
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Genética e causas
O que está alterado no DNA e como passa nas famílias
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Diagnóstico
Os sinais que médicos procuram e os exames que confirmam
Tratamento e manejo
Remédios, cuidados de apoio e o que precisa acompanhar
Onde tratar no SUS
Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)
🇧🇷 Atendimento SUS — Cisto dermoide facial
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Publicações mais relevantes
Neurilemmoma Masquerading a Dermoid Cyst at the Inferior Mandibular Margin: An Unusual Clinical Occurrence.
Neurilemmomas in the submental and submandibular region represent a diagnostic challenge, often mimicking more common superficial cysts. This is a case of neurilemmoma of the marginal mandibular branch of the facial nerve, initially diagnosed as a dermoid cyst via ultrasonography in a 65-year-old male with an 18-month history of a painless 1.5-cm mass. Histopathological examination of the excised lesion confirmed neurilemmoma. The mass was encapsulated and easily detached from the surrounding tissue; thus, successful excision without postoperative neurological deficits was ensured.
Large Pleomorphic Adenoma of The Upper Lip in a Middle-Aged Woman With Facial Deformity, Tooth Displacement, and Bone Loss: Uncommon Clinical Presentation of a Benign Tumor.
Pleomorphic adenoma (PA) is the most common benign neoplasm of the salivary glands, occurring in both major and minor glands, with a predilection for the intraoral palate. Its presentation in the upper lip is rare and, when large, may result in facial deformity, alveolar bone resorption, and tooth displacement, especially in long-standing lesions. Clinically, PA presents as a solid, painless, slow-growing, and well-circumscribed mass, which may cause functional morbidity depending on its size and location. The differential diagnosis includes canalicular adenoma, other benign minor salivary gland neoplasms, mesenchymal tumors (lipoma, fibroma, neurofibroma, schwannoma, and hemangioma), and cystic lesions (mucocele, dermoid cyst, and epidermoid cyst). Distinguishing among these entities requires a detailed clinical evaluation, imaging studies, and histopathological confirmation, often complemented by immunohistochemistry. Complete excisional biopsy with adequate margins remains the treatment of choice, providing an excellent prognosis and reducing the risk of recurrence or malignant transformation. This report describes an uncommon case of large PA of the upper lip, associated with alveolar bone loss and tooth displacement, highlighting the importance of early diagnosis and appropriate surgical management.
Advanced Digital Workflow for Lateral Orbitotomy in Orbital Dermoid Cysts: Integration of Point-of-Care Manufacturing and Intraoperative Navigation.
Background: Orbital dermoid cysts are common benign lesions; however, deep-seated or recurrent lesions near the orbital apex pose major surgical challenges due to their proximity to critical neurovascular structures. Lateral orbitotomy remains the reference approach, but accurate osteotomies and stable reconstruction can be difficult to achieve using conventional techniques. This study reports our initial experience using a fully digital, hospital-based point-of-care (POC) workflow to enhance precision and safety in complex orbital dermoid cyst surgery. Methods: We present a case series of three patients with orbital dermoid cysts treated at a tertiary center (2024-2025) using a comprehensive digital workflow. Preoperative assessment included CT and/or MRI followed by virtual surgical planning (VSP) with orbit-tumor segmentation and 3D modeling. Cutting guides and patient-specific implants (PSIs) were manufactured in-house under a certified hospital-based POC protocol. Surgical strategies were tailored to each lesion and included piezoelectric osteotomy, intraoperative navigation, intraoperative CT, and structured-light scanning when indicated. Results: Complete en bloc resection was achieved in all cases without capsular rupture or optic nerve injury. Intraoperative CT confirmed complete lesion removal and accurate PSI positioning and fitting. Structured-light scanning enabled radiation-free postoperative monitoring when used. All patients preserved full ocular motility, visual acuity, and facial symmetry, with no complications or recurrences during follow-up. Conclusions: The integration of VSP, in-house POC manufacturing, and image-guided surgery within a lateral orbitotomy approach provides a reproducible and fully integrated workflow. This strategy appears to improve surgical precision and safety while supporting optimal long-term functional and aesthetic outcomes in challenging orbital dermoid cyst cases.
Cystic Teratoma with Neuroectodermal Cyst and Choroid Plexus Like Epithelium, A Rare Entity in the Head and Neck: Case Report with Literature Review.
Background: Cystic teratoma with neuroectodermal cyst and choroid plexus epithelium in the cheek has never been documented in the literature to date. We report the first example of a cystic teratoma with abundant neuroectodermal derivatives, like glial cells and papillary choroid plexus-like epithelium, within the masseteric space and with no intracranial involvement. Patient presentation: A two-year-old male child presented with a complaint of a slowly growing swelling on the left side of the face since birth with no history of fever, fatigue or weight loss or other similar swellings elsewhere. No relevant family history was noted. Subsequent investigations revealed a single large nontender well-marginated swelling of size 4.6 ×3.6 ×3.7 cm within the left masseteric space. Additionally, unilateral renal agenesis on the right side was identified on ultrasound scan. Surgical removal and subsequent histopathological examination revealed cystic cavities lined by flat cells, which at places showed choroid plexus-like papillary proliferations. The connective tissue capsule was predominantly of glial fibrillary material, lacking any presence of dermoid or epidermoid structures, bone, cartilage or any hard tissues. The immunohistochemical examination with glial fibrillary acidic protein, keratin, vimentin and S100 confirmed the neuroectodermal components. A final diagnosis of cystic teratoma with neuroectodermal cyst was made, arguing against dermoid or epidermoid teratomas. Conclusion: Cystic teratoma with neuroectodermal cyst features are common in the gonads, ovaries, or the midline, but is rare in the cheek region and never reported in the literature to date. The location is famous for dermoid/epidermoid cyst subtypes of cystic teratomas; however, a neuroectodermal cyst is an unusual presentation.
Imaging Yield and Surgical Outcomes of Nasal, Medial Brow, Forehead, and Scalp Dermoid Cysts.
ObjectiveDermoid cyst (DC) is a congenital cyst with the potential to have intracranial extension (ICE). This study aims to evaluate the imaging yield and surgical outcomes of nasal, medial brow, forehead, and scalp DCs.DesignRetrospective review of craniofacial DCs treated at our institution between 1992 and 2024.ResultsA total of 117 patients (57 females) were included. The median age at cyst detection and removal were 4.8 months (IQR 3.6-9.6) and 1.8 years (IQR 0.9-5.3), respectively. In 42 patients, parents have noticed the presence of the cyst immediately after birth. Cyst wall rupture during surgical removal was reported in 15.4%. The median follow-up time was 1.3 months (IQR 0.5-12.2). Three patients experienced recurrence. No postoperative complication was reported. The regions with the highest prevalence of ICE were the forehead, frontotemporal scalp, and nasal region. The lateral frontal/temporal scalp had a 33.3% rate of ICE. Midline forehead/scalp lesions demonstrated a higher risk of ICE compared to their lateral equivalents (54.5% vs 17.5%, P = .03). The sensitivity and specificity of magnetic resonance imaging (MRI) were 100% and 95.7%, while for computed tomography (CT scans) were 72.7% and 96.5%. The Area Under the Curve for MRI was 0.978, and for CT was 0.846. The sensitivity and specificity of ultrasound were 50% and 100%.ConclusionsMidline forehead/scalp DCs are more prone to extend intracranially than lateral DCs. MRI had a higher sensitivity and specificity than CT scans in detecting ICE. Routine screening imaging should be considered in midline forehead/scalp, lateral frontal/temporal, and nasal DCs.
Publicações recentes
Imaging Yield, Surgical Findings, and Outcomes Following Surgical Excision of Lateral Brow Dermoid Cysts.
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Imaging Yield and Surgical Outcomes of Nasal, Medial Brow, Forehead, and Scalp Dermoid Cysts.
Managing Limbal Dermoids in Patients with Goldenhar Syndrome: A Case Series.
Presacral Keratinous and Dermoid Cyst Masquerading as Meningocele - A Rare Case Report.
📚 EuropePMCmostrando 121
Neurilemmoma Masquerading a Dermoid Cyst at the Inferior Mandibular Margin: An Unusual Clinical Occurrence.
Case reports in dentistryLarge Pleomorphic Adenoma of The Upper Lip in a Middle-Aged Woman With Facial Deformity, Tooth Displacement, and Bone Loss: Uncommon Clinical Presentation of a Benign Tumor.
Case reports in dentistryAdvanced Digital Workflow for Lateral Orbitotomy in Orbital Dermoid Cysts: Integration of Point-of-Care Manufacturing and Intraoperative Navigation.
Journal of clinical medicineOral Dermoid Cyst in the Mouth Floor: A Case Report and 5-Year Review of the Literature.
Case reports in dentistryCystic Teratoma with Neuroectodermal Cyst and Choroid Plexus Like Epithelium, A Rare Entity in the Head and Neck: Case Report with Literature Review.
International journal of surgical pathologyEpidermoid cyst of the tongue: a case report of a rare site of manifestation in a 6-month-old infant.
Annals of medicine and surgery (2012)Delayed Multiple Cerebral Infarction Following Rupture of a Dermoid Cyst in the Right Lateral Wall of the Cavernous Sinus-Meckel Cave Area.
The Journal of craniofacial surgeryImaging Yield, Surgical Findings, and Outcomes Following Surgical Excision of Lateral Brow Dermoid Cysts.
The Journal of craniofacial surgeryDermoid Cyst of Conjunctival Origin Attached to the Tarsus in a Pediatric Patient.
Ophthalmic plastic and reconstructive surgeryImaging Yield and Surgical Outcomes of Nasal, Medial Brow, Forehead, and Scalp Dermoid Cysts.
The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial AssociationManaging Limbal Dermoids in Patients with Goldenhar Syndrome: A Case Series.
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African journal of paediatric surgery : AJPS[Frontozygomatic dermoid cysts].
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The Journal of the Louisiana State Medical Society : official organ of the Louisiana State Medical SocietyEpidermoid cyst at a rare location, as a content of inguinal hernia: A case report with a review of the literature.
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Neuropathology : official journal of the Japanese Society of NeuropathologyUnusual Presenting Tadpole-Shaped Dermoid Cyst on Eyebrow.
The Journal of craniofacial surgerySonographic Diagnosis of Periorbital Dermoid Cyst.
Ultrasound quarterlyUpdate on current evaluation and management of pediatric nasal dermoid.
The LaryngoscopeGlabellar dermoid cyst: A case presentation.
Ophthalmic geneticsEndoscopic Excision of Forehead and Eyebrow Benign Tumors in Children.
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Chinese medical journal[Congenital median dermoid fistula of nasal dorsum: one case report].
Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgerySublingual dermoid cysts: case report and review of the literature.
The Journal of laryngology and otologyConservative management of typical pediatric postauricular dermoid cysts.
International journal of pediatric otorhinolaryngologyDistinguishing Goldenhar Syndrome from Craniofacial Microsomia.
The Journal of craniofacial surgeryConservative Surgical Management of a Grade III Corneal Dermoid.
CorneaA Middle Cranial Fossa Dermoid Cyst Treated by an Endonasal Endoscopic Approach.
The Journal of craniofacial surgeryUsefulness of the indocyanine green fluorescence endoscope in endonasal transsphenoidal surgery.
Journal of neurosurgeryAssociações
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Referências e fontes
Bases de dados externas citadas neste artigo
Publicações científicas
Artigos indexados no PubMed ligados a esta doença no grafo RarasNet — título, periódico e PMID direto da fonte, sem intermediação de IA.
- Neurilemmoma Masquerading a Dermoid Cyst at the Inferior Mandibular Margin: An Unusual Clinical Occurrence.
- Large Pleomorphic Adenoma of The Upper Lip in a Middle-Aged Woman With Facial Deformity, Tooth Displacement, and Bone Loss: Uncommon Clinical Presentation of a Benign Tumor.
- Advanced Digital Workflow for Lateral Orbitotomy in Orbital Dermoid Cysts: Integration of Point-of-Care Manufacturing and Intraoperative Navigation.
- Cystic Teratoma with Neuroectodermal Cyst and Choroid Plexus Like Epithelium, A Rare Entity in the Head and Neck: Case Report with Literature Review.
- Imaging Yield and Surgical Outcomes of Nasal, Medial Brow, Forehead, and Scalp Dermoid Cysts.The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association· 2026· PMID 39491820mais citado
- Imaging Yield, Surgical Findings, and Outcomes Following Surgical Excision of Lateral Brow Dermoid Cysts.
- Dermoid Cyst of Conjunctival Origin Attached to the Tarsus in a Pediatric Patient.
- Managing Limbal Dermoids in Patients with Goldenhar Syndrome: A Case Series.
- Presacral Keratinous and Dermoid Cyst Masquerading as Meningocele - A Rare Case Report.
Bases de dados e fontes oficiais
Identificadores e referências canônicas usadas para montar este verbete.
- ORPHA:141051(Orphanet)
- MONDO:0015380(MONDO)
- GARD:19938(GARD (NIH))
- Busca completa no PubMed(PubMed)
- Q55785432(Wikidata)
Dados compilados pelo RarasNet a partir de fontes abertas (Orphanet, OMIM, MONDO, PubMed/EuropePMC, ClinicalTrials.gov, DATASUS, PCDT/MS). Este conteúdo é informativo e não substitui avaliação médica.
Conteúdo mantido por Agente Raras · Médicos e pesquisadores podem colaborar
