Recurrent ‘periorbital’ dermoids

Abstract

Our experiences in two cases of recurrent deep orbital dermoids, manifesting clinically as ‘periorbital’ dermoids, are presented. Their surgical management and possible problems are discussed. Though lateral orbitotomy has been usually advocated for such cases, the anterior approach is equally, if not more, effective if done with caution. It enables access almost to the orbital apex with lesser technical problems and morbidity. The apparently superficial ‘periorbital’ position of a deep orbital dermoid may be clinically very misleading to the unwary.

Key Words:

• dermoid cyst
• orbit
• intraorbital extension