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Clinical Characteristics of Idiopathic Epidermoid and Dermoid Cysts of the Ear

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Background and Objectives: Epidermoid and dermoid cysts are benign cystic lesions, linedby ectodermal squamous epithelium. They are not common in the head and neck areas,which constitute ~7% of all cases of epidermoid and dermoid cysts. The aim of this studywas to investigate the clinical characteristics of epidermoid and dermoid cysts that developedaround the ear. Subjects and Methods: The clinical records were retrospectively reviewedfor patients confirmed histologically as idiopathic epidermoid and dermoid cysts ofthe ear from January 2011 to December 2015. Results: Total 15 cases consisted of 14 epidermoidcysts and only 1 dermoid cyst. There were 11 males and 4 females (mean age of37.8±16.8 years old). Right side was 7 cases and left was 8. The cyst was located at the lobulein 4 cases, at the ear canal in 4 cases, at the preauricular area in 4 cases, and at the postauriculararea in 3 cases. In cases of epidermoid cysts, there was no significant difference inage, sex, and size according to the location. Patients with cysts on helix were younger thanothers. Conclusions: This study demonstrated that most cutaneous cysts developing aroundthe ear were epidermoid cysts and there was no site preference for occurrence of epidermoidcysts.

Abstract

Background and Objectives: Epidermoid and dermoid cysts are benign cystic lesions, linedby ectodermal squamous epithelium. They are not common in the head and neck areas,which constitute ~7% of all cases of epidermoid and dermoid cysts. The aim of this studywas to investigate the clinical characteristics of epidermoid and dermoid cysts that developedaround the ear. Subjects and Methods: The clinical records were retrospectively reviewedfor patients confirmed histologically as idiopathic epidermoid and dermoid cysts ofthe ear from January 2011 to December 2015. Results: Total 15 cases consisted of 14 epidermoidcysts and only 1 dermoid cyst. There were 11 males and 4 females (mean age of37.8±16.8 years old). Right side was 7 cases and left was 8. The cyst was located at the lobulein 4 cases, at the ear canal in 4 cases, at the preauricular area in 4 cases, and at the postauriculararea in 3 cases. In cases of epidermoid cysts, there was no significant difference inage, sex, and size according to the location. Patients with cysts on helix were younger thanothers. Conclusions: This study demonstrated that most cutaneous cysts developing aroundthe ear were epidermoid cysts and there was no site preference for occurrence of epidermoidcysts.

참고문헌 (7)

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  2. Park JS, "A histopathologic study of epidermoid cysts in Korea:comparison between ruptured and unruptured epidermal cyst", Int J Clin Exp Pathol, 6, pp.242~248 (2013)
  3. 정규화, "Characteristics of Dermoid Cyst of the Auricle", Archives of Craniofacial Surgery, 15(1), pp.22~27 (2014), 대한두개안면성형외과학회
  4. 김고운, "Clinical Characteristics of Epidermoid Cysts of the External Auditory Canal", Journal of Audiology & Otology, 20(1), pp.36~40 (2016), 대한청각학회
  5. Abdel-Aziz M, "Epidermoid cyst of the external auditory canal in children:diagnosis and management", J Craniofac Surg, 22, pp.1398~1400 (2011)
  6. Dabholkar JP, "Congenital cystic lesions in head and neck", Indian J Otolaryngol Head Neck Surg, 55, pp.128~130 (2003)
  7. Görür K, "An unusual presentation of neck dermoid cyst", Eur Arch Otorhinolaryngol, 262, pp.353~355 (2005)

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