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Year : 2019  |  Volume : 3  |  Issue : 2  |  Page : 73-75

Endoscope-assisted excision of recurrent frontotemporal dermoid: A case report

1 Department of ORL-HNS, INHS Asvini, Mumbai, Maharashtra, India
2 Department of ORL-HNS, Military Hospital, Bhopal, Madhya Pradesh, India
3 Department of Neurosurgery, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India

Correspondence Address:
Dr. Anubhav Singh
Department of ORL-HNS, Military Hospital, Bhopal, Madhya Pradesh
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/aiao.aiao_15_19

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Craniofacial dermoids develop as a result of sequestration of epidermal and adnexal components within mesodermal and neuroectodermal structures during embryonic development. Frontotemporal dermoids are the most common of these and usually present as slow-growing masses without discharging sinus or deep bone or intracranial extension. We present a case of recurrent frontotemporal dermoid with discharging sinus and invasion into the sphenoid bone with bone erosion and intracranial extradural extension of dermoid. The patient was managed with surgical excision and clearance of dermoid. Complete surgical excision was ensured with the help of angled nasal endoscopes. Endoscopes provide a wide angle of view and are available in various angles, hence helping in complete visualization of bony cavity and clearance of its contents. The use of endoscopes in surgeries of craniofacial dermoids can help in reducing chances of residual lesion and requirement of subsequent revision surgery and ensure a better cosmesis.

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