{"id":1843,"date":"2022-10-03T15:57:58","date_gmt":"2022-10-03T12:57:58","guid":{"rendered":"https:\/\/dregemeneroglu.com\/cocugumun-kasinin-uzerinde-kist-cikti\/"},"modified":"2022-10-14T09:32:25","modified_gmt":"2022-10-14T06:32:25","slug":"cocugumun-kasinin-uzerinde-kist-cikti","status":"publish","type":"post","link":"https:\/\/dregemeneroglu.com\/en\/cocugumun-kasinin-uzerinde-kist-cikti\/","title":{"rendered":"There is a cyst on my child&#8217;s eyebrow&#8230;"},"content":{"rendered":"<h5 style=\"text-align: justify;\"><\/h5>\n<h5 style=\"text-align: justify;\"><span style=\"font-family: arial, helvetica, sans-serif;\">After taking a short break, let&#8217;s continue to explain the surgical problems we frequently encounter in children.\u00a0\u00a0The fact that the topics I explained in the Pediatric Surgeon&#8217;s Journal reach people, enlighten them, and the positive feedbacks make me very happy.<\/span><\/h5>\n<h5 style=\"text-align: justify;\"><\/h5>\n<h5 style=\"text-align: justify;\"><span style=\"font-family: arial, helvetica, sans-serif;\">Today, I will tell you about a pathology that I encounter very often.\u00a0\u00a0In fact, it is a painless, usually 1-3 cm in size, rubbery cystic structure under the skin, which is present since birth, but which may not be noticed until 3-4 months of age because of its small size, located just below or above the outer half of the eyebrow.\u00a0\u00a0We, pediatric surgeons, can make the diagnosis as soon as we see it.\u00a0\u00a0Dermoid cyst.\u00a0\u00a0Sometimes it can also be called an angular cyst.<\/span><\/h5>\n<h5 style=\"text-align: justify;\"><\/h5>\n<h5 style=\"text-align: justify;\"><\/h5>\n<h5 style=\"text-align: justify;\"><span style=\"font-family: arial, helvetica, sans-serif;\">While we are still in the embryonic period, three layers are formed first;\u00a0\u00a0ectoderm, mesoderm and endoderm.\u00a0\u00a0Our structures such as our skin, nails, hair, and teeth develop from the ectoderm layer, where the outermost organs develop.\u00a0\u00a0If some of the elements consisting of this layer remain in a sac under the skin, a benign skin develop anomaly, a dermoid cyst, is formed.\u00a0\u00a0The skin elements in the sac continue to work, the trapped glands continue to secrete fluid, the cyst grows slowly.<\/span><\/h5>\n<h5 style=\"text-align: justify;\"><\/h5>\n<h5 style=\"text-align: justify;\"><span style=\"font-family: arial, helvetica, sans-serif;\">Although they are congenital problems, only about 40% of them are seen at birth, more often they start to become noticeable in childhood after they start to grow slowly.\u00a0\u00a0It can be seen in many parts of the body, the most common, up to 85%, is located in the head and neck region.\u00a0\u00a0In the head and neck region, as you can see in the image in my youtube video, it is most noticeable on the outer third of the eyebrow.\u00a0\u00a0However, dermoid cysts can develop anywhere in the body.<\/span><\/h5>\n<h5 style=\"text-align: justify;\"><\/h5>\n<h5 style=\"text-align: justify;\"><span style=\"font-family: arial, helvetica, sans-serif;\">We don&#8217;t know exactly why and how they form.\u00a0\u00a0We only know that the skin structures are trapped under the skin during fetal development.\u00a0\u00a0In other words, there are structures such as fat, epithelial cells, hairs, tooth fragments in the vesicles.\u00a0\u00a0There&#8217;s no gender, age, or race connection.\u00a0\u00a0Although slightly more reported in white girls, it is not statistically significant.\u00a0\u00a0After all, they account for almost 50% of childhood scalp tumors.<\/span><\/h5>\n<h5 style=\"text-align: justify;\"><\/h5>\n<h5 style=\"text-align: justify;\"><span style=\"font-family: arial, helvetica, sans-serif;\">Especially in those that develop in the midline, for example, in the middle of both eyebrows, just above the nose, growth into the head can also be seen.\u00a0\u00a0Since we know that they can grow into the head or into the spinal cord depending on the location, we definitely do the necessary imaging studies before starting any treatment process.\u00a0\u00a0We stay away from interventions such as needle biopsy and needle aspiration because undesirable conditions such as infection, osteomyelitis, brain abscess, meningitis may occur.<\/span><\/h5>\n<h5 style=\"text-align: justify;\"><\/h5>\n<h5 style=\"text-align: justify;\"><span style=\"font-family: arial, helvetica, sans-serif;\">Since dermoid cysts grow slowly, infection may develop, and they may cause problems such as bone deformity and mass formation in the brain, we prefer to completely remove the outer sac, as you can see in the photos on the youtube video.\u00a0\u00a0Sometimes they can become abscessed and empty spontaneously, but if the capsule around them does not come out, they form again.\u00a0\u00a0The younger we remove it, the easier the surgery will be, and the smaller the scar that will remain.\u00a0\u00a0Likewise, if there is a dermoid cyst in the ovaries, we remove it by laparoscopy, if possible, while preserving the ovary.\u00a0\u00a0I will explain ovarian and ovarian cysts in another course.\u00a0\u00a0Dermoid cysts, which are connected to the spinal cord and have open channels such as fistulas, where the cerebrospinal fluid comes out, are evaluated and treated by neurosurgeons.<\/span><\/h5>\n<h5 style=\"text-align: justify;\"><\/h5>\n<h5 style=\"text-align: justify;\"><span style=\"font-family: arial, helvetica, sans-serif;\">If there is no extension into the brain, if the cyst is completely removed with its sac, the treatment is completed.\u00a0\u00a0The probability of malignant cells in the pathology specimen is very low.\u00a0\u00a0Those in the ovaries or abdomen or sublingual are more likely to have malignant cells.\u00a0\u00a0<\/span><\/h5>\n<h5 style=\"text-align: justify;\"><\/h5>\n<h5 style=\"text-align: justify;\"><span style=\"font-family: arial, helvetica, sans-serif;\">As a result, we call the swellings on the outer third of the eyebrow \u201cdermoid cyst\u201d.\u00a0\u00a0We recommend that these congenital structures be removed under general anesthesia in the operating room at a suitable time before they start to cause bleeding, inflammation, and local problems due to infection, trauma.<\/span><\/h5>\n<h5 style=\"text-align: justify;\"><\/h5>\n<h5 style=\"text-align: justify;\"><span style=\"font-family: arial, helvetica, sans-serif;\">We have come to the end of our journey.<\/span><\/h5>\n<h5 style=\"text-align: justify;\"><\/h5>\n<h5 style=\"text-align: justify;\"><span style=\"font-family: arial, helvetica, sans-serif;\">If you like the video, subscribe to my <strong><span style=\"text-decoration: underline;\"><span style=\"color: #3366ff; text-decoration: underline;\"><a style=\"color: #3366ff; text-decoration: underline;\" href=\"https:\/\/www.youtube.com\/channel\/UCT0CkMDEd3C50cocD77UCaQ\">youtube channel<\/a> <\/span><\/span><\/strong>and click like if you enjoyed, follow us on <span style=\"text-decoration: underline;\"><strong><span style=\"color: #3366ff; text-decoration: underline;\"><a style=\"color: #3366ff; text-decoration: underline;\" href=\"https:\/\/www.instagram.com\/dregemeneroglu\/\">instagram.<\/a><\/span><\/strong><\/span><\/span><\/h5>\n<h5 style=\"text-align: justify;\"><\/h5>\n<h5 style=\"text-align: justify;\"><span style=\"font-family: arial, helvetica, sans-serif;\">And stay happy.<\/span><\/h5>\n<h5 style=\"letter-spacing: 0.7px; text-align: justify;\"><span style=\"font-family: arial, helvetica, sans-serif;\">September 2022<\/span><\/h5>\n<h5 style=\"text-align: justify;\"><span style=\"font-family: arial, helvetica, sans-serif;\">Prof.\u00a0\u00a0Dr.\u00a0\u00a0Egemen Eroglu<\/span><\/h5>\n<h5 style=\"text-align: justify;\"><\/h5>\n<h5 style=\"text-align: justify;\"><\/h5>\n","protected":false},"excerpt":{"rendered":"<p>After taking a short break, let&#8217;s continue to explain the surgical problems we frequently encounter in children.\u00a0\u00a0The fact that the topics I explained in the Pediatric Surgeon&#8217;s Journal reach people, enlighten them, and the positive feedbacks make me very happy. Today, I will tell you about a pathology that I encounter very often.\u00a0\u00a0In fact, it [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":1836,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[35],"tags":[],"class_list":["post-1843","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog-en"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>There is a cyst on my child&#039;s eyebrow... - Prof. Dr. Egemen Ero\u011flu<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/dregemeneroglu.com\/en\/cocugumun-kasinin-uzerinde-kist-cikti\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"There is a cyst on my child&#039;s eyebrow... - Prof. Dr. Egemen Ero\u011flu\" \/>\n<meta property=\"og:description\" content=\"After taking a short break, let&#8217;s continue to explain the surgical problems we frequently encounter in children.\u00a0\u00a0The fact that the topics I explained in the Pediatric Surgeon&#8217;s Journal reach people, enlighten them, and the positive feedbacks make me very happy. 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