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Findings that shed new light on the possible pathogenesis of a disease or an adverse effect
CASE REPORT
Acute presentation of an intraoral dermoid cyst causing airway compromise in a young child
  1. Sanjana Bhalla1,
  2. Vikas Acharya2,
  3. Munira Ally3 and
  4. Ali Taghi4
  1. 1 Department of Surgery and Cancer, Imperial College London, London, UK
  2. 2 General Surgery, Luton and Dunstable Hospital NHS Trust, Luton, UK
  3. 3 Department of Otolaryngology, Charing Cross Hospital, London, UK
  4. 4 Ear, Nose and Throat Surgery, Imperial College Healthcare NHS Trust, London, UK
  1. Correspondence to Dr Sanjana Bhalla, sbhalla{at}doctors.org.uk

Abstract

A 4-month-old boy presented with a cystic swelling at the floor of the mouth causing acute airway compromise. The only previous history of note, was a tongue tie release at 3 days old. CT scan suggested a dermoid cyst with extensive floor of mouth abscess. He had an excision of the cyst and drainage of the superimposed abscess and made a good recovery. The histology report revealed a dermoid cyst which is a rare diagnosis in a child, particularly within the oral cavity. Early treatment is required to remove these lesions especially when they cause airway compromise or swallowing difficulties. This is the first case to our knowledge which suggests tongue tie release procedures causes a predisposition to the development of dermoid cysts in the oral cavity.

  • dermoid
  • tongue tie
  • floor of mouth
  • abscess
  • oral pathology

https://doi.org/10.1136/bcr-2018-228421

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    Footnotes

    • Contributors SB: first author and contribution to the case throughout. VA: data analysis, author and contribution to the case throughout. MA: data analysis. AT: senior author.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Patient consent for publication Parental/Guardian consent obtained.