Imaging Yield and Surgical Outcomes of Nasal, Medial Brow, Forehead, and Scalp Dermoid Cysts.

IF 1.1 4区 医学 Q2 Dentistry Cleft Palate-Craniofacial Journal Pub Date : 2024-11-03 DOI:10.1177/10556656241295572
Alexandre Meira Pazelli, Leda Wang, Lauren Gates-Tanzer, Dawn M R Davis, Shelagh Cofer, Samir Mardini, Julia Lehman, Julie Guerin, Edward S Ahn, Waleed Gibreel
{"title":"Imaging Yield and Surgical Outcomes of Nasal, Medial Brow, Forehead, and Scalp Dermoid Cysts.","authors":"Alexandre Meira Pazelli, Leda Wang, Lauren Gates-Tanzer, Dawn M R Davis, Shelagh Cofer, Samir Mardini, Julia Lehman, Julie Guerin, Edward S Ahn, Waleed Gibreel","doi":"10.1177/10556656241295572","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>Dermoid 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.</p><p><strong>Design: </strong>Retrospective review of craniofacial DCs treated at our institution between 1992 and 2024.</p><p><strong>Results: </strong>A 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%, <i>P </i>= .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%.</p><p><strong>Conclusions: </strong>Midline 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.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656241295572"},"PeriodicalIF":1.1000,"publicationDate":"2024-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Cleft Palate-Craniofacial Journal","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/10556656241295572","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"Dentistry","Score":null,"Total":0}
引用次数: 0

Abstract

Objective: Dermoid 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.

Design: Retrospective review of craniofacial DCs treated at our institution between 1992 and 2024.

Results: A 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%.

Conclusions: Midline 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.

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
鼻腔、眉毛内侧、额头和头皮皮样囊肿的成像结果和手术疗效
目的:蝶窦囊肿(Dermoid cyst,DC)是一种先天性囊肿,有可能向颅内扩展(ICE)。本研究旨在评估鼻腔、眉内侧、前额和头皮DC的成像结果和手术效果:设计:对1992年至2024年间在本院接受治疗的颅面部DC进行回顾性研究:结果:共纳入 117 名患者(57 名女性)。发现和切除囊肿的中位年龄分别为 4.8 个月(IQR 3.6-9.6)和 1.8 岁(IQR 0.9-5.3)。有42名患者的父母在孩子出生后立即发现了囊肿的存在。15.4%的患者在手术切除过程中囊肿壁破裂。中位随访时间为 1.3 个月(IQR 0.5-12.2)。三名患者复发。无术后并发症报告。ICE发病率最高的部位是前额、额颞部头皮和鼻部。额颞侧头皮的 ICE 发生率为 33.3%。前额/头皮中线病变与外侧病变相比,发生 ICE 的风险更高(54.5% vs 17.5%,P = 0.03)。磁共振成像(MRI)的灵敏度和特异性分别为 100% 和 95.7%,而计算机断层扫描(CT 扫描)的灵敏度和特异性分别为 72.7% 和 96.5%。核磁共振成像的曲线下面积为 0.978,CT 为 0.846。超声波的敏感性和特异性分别为 50%和 100%:结论:前额/头皮中线DC比外侧DC更容易向颅内扩展。磁共振成像检测ICE的敏感性和特异性均高于CT扫描。应考虑对额头/头皮中线、额/颞外侧和鼻腔DC进行常规筛查成像。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
Cleft Palate-Craniofacial Journal
Cleft Palate-Craniofacial Journal DENTISTRY, ORAL SURGERY & MEDICINE-SURGERY
CiteScore
2.20
自引率
36.40%
发文量
0
审稿时长
4-8 weeks
期刊介绍: The Cleft Palate-Craniofacial Journal (CPCJ) is the premiere peer-reviewed, interdisciplinary, international journal dedicated to current research on etiology, prevention, diagnosis, and treatment in all areas pertaining to craniofacial anomalies. CPCJ reports on basic science and clinical research aimed at better elucidating the pathogenesis, pathology, and optimal methods of treatment of cleft and craniofacial anomalies. The journal strives to foster communication and cooperation among professionals from all specialties.
期刊最新文献
Measuring the Unilateral Cleft Lip Nasal Deformity: Lateral Deviation of Subnasale Is a Clinical and Morphologic Index of Unrepaired Severity. Orthodontic Management of Severe Hypodontia and Impacted Maxillary Second Molars in a Patient with Sotos Syndrome. Comprehensive Long-Term Outcomes Following Mandibular Distraction Osteogenesis. LeFort I Horizontal Osteotomy: Defining the Feasibility of the "High Osteotomy". A Keynote Address: A Guide to Supporting Conference Speakers with Lived Experience of Cleft Lip and/or Palate.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1