Liu NN, Zhang XY, Tang YY, Wang ZM. Two sequential surgeries in infant with multiple floor of the mouth dermoid cysts: A case report. World J Clin Cases 2020; 8(13): 2885-2892 [PMID: 32742999 DOI: 10.12998/wjcc.v8.i13.2885]
Corresponding Author of This Article
Zhi-Ming Wang, DDS, MD, PhD, Chief Doctor, Surgeon, Department of Stomatology, Shengjing Hospital of China Medical University, No. 36 Sanhao Street, Heping District, Shenyang 110004, Liaoning Province, China. wangzm@sj-hospital.org
Research Domain of This Article
Surgery
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Jul 6, 2020; 8(13): 2885-2892 Published online Jul 6, 2020. doi: 10.12998/wjcc.v8.i13.2885
Two sequential surgeries in infant with multiple floor of the mouth dermoid cysts: A case report
Nan-Nan Liu, Xin-Yue Zhang, Yan-Yan Tang, Zhi-Ming Wang
Nan-Nan Liu, Xin-Yue Zhang, Yan-Yan Tang, Zhi-Ming Wang, Department of Stomatology, Shengjing Hospital of China Medical University, Shenyang 110004, Liaoning Province, China
Author contributions: Liu NN and Wang ZM contributed to the design of the article; Liu NN, Zhang XY and Tang YY contributed to the literature review, drafting and editing; All authors approved the final draft submitted.
Supported by345 Talent Project of Shengjing Hospital; and Natural Science Foundation of Liaoning Province, No. 20170541042.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Zhi-Ming Wang, DDS, MD, PhD, Chief Doctor, Surgeon, Department of Stomatology, Shengjing Hospital of China Medical University, No. 36 Sanhao Street, Heping District, Shenyang 110004, Liaoning Province, China. wangzm@sj-hospital.org
Received: February 2, 2020 Peer-review started: February 2, 2020 First decision: May 21, 2020 Revised: May 23, 2020 Accepted: June 4, 2020 Article in press: June 4, 2020 Published online: July 6, 2020 Processing time: 155 Days and 12.4 Hours
Abstract
BACKGROUND
Multiple intraoral dermoid cysts of large magnitude generally appear in the second or third decade of life. They are rare in infants and are usually solitary. In this case, a large mass was identified in utero during prenatal exams.
CASE SUMMARY
We introduce a rare case on multiple dermoid cysts in the floor of the mouth of an infant who underwent two surgeries for this. Preoperative magnetic resonance imaging confirmed a large well-circumscribed cystic lesion that originated at the former midline region in the floor of the mouth in which a suspicious lesion of minute size was likely compressed by the bulkier mass and overlooked. Therefore, the infant underwent two surgeries by an intraoral approach within 9 mo. At 5 mo after the second operation, a routine follow-up ultrasound showed evidence of an additional cyst. No further surgery was planned because the tumor had no immediate effect.
CONCLUSION
This report demonstrates the importance of carefully analyzing preoperative imaging to avoid multiple operations for a seemingly isolated oral cyst.
Core tip: Herein, we describe an infant subjected to surgery on two occasions for multiple dermoid cysts within the floor of the mouth and perform a systematic review of the literature. The multiple lesions were squeezed so much that they are ignored, which lead to two sequential surgeries.
