Medical Care
No medical care usually is required for an orbital dermoid.
Inflammation that results from a ruptured dermoid cyst may be controlled with oral prednisone.
Surgical Care
Dermoid cysts usually are cosmetic problems. The location of the dermoid cyst in the orbit helps determine the appropriate type of orbitotomy. A method for percutaneous drainage and ablation of orbital dermoid cysts [10] and endoscopic-assisted removal of orbital dermoid cysts has been reported. [11] In 2019, Bajric and Harris reviewed locations of the dermoid and how they altered surgical approaches. The cysts were stratified into anterior, superior, medial to the frontozygomatic suture, anterior and medial across the suture, and those forming a sinus from the orbit to the skin. [12]
Inflammation from preoperative or intraoperative rupture of the cyst can be controlled with the use of prednisone.
Failure to remove the entire cyst may result in persistent inflammation, a draining sinus, or recurrence of the cyst.
Complications
Dermoid cysts generally have a good prognosis. If they are excised completely, usually only minimal scarring occurs. If they are observed rather than excised, slow growth can be expected.
Further Outpatient Care
After surgical excision of an orbital dermoid, infrequent follow-up care is necessary.
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Temporal-zygomatic suture line on the lateral orbital wall. The location of the periosteal attachment of most orbital dermoids.
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Orbital dermoid.
