Hellow guys, Welcome to my website, and you are watching Excision of medial dermoid cyst. and this vIdeo is uploaded by Richard C. Allen MD PhD FACS at 2019-06-16T07:34:29-07:00. We are pramote this video only for entertainment and educational perpose only. So, I hop you like our website.
| Name | Excision of medial dermoid cyst |
| Video Uploader | Video From Richard C. Allen MD PhD FACS |
| Upload Date | This Video Uploaded At 16-06-2019 14:34:29 |
| Video Discription | Most periorbital dermoid cysts are superior-lateral; those that are not are frequently superior-medial. I believe that superior-medial dermoid cysts (just like superior-lateral cysts) can be accessed through a lid crease incision. Lid crease incision gives a great cosmetic result. A cryo probe is very useful to help in dissection and prevent rupture of the cyst. I personally no longer do preoperative imaging on dermoid cysts unless there are other orbital signs present, such as proptosis, motility deficit, or globe displacement. For a written transcript of this video, please see below: This is Richard Allen at the University of Iowa. This video demonstrates excision of a medial dermoid cyst using a lid crease incision. A 15 blade is used to make an incision along the lid crease which was previously marked. A monopolar cautery is then used to dissect through the orbicularis muscle to the orbital septum. The cyst is palpated and dissection within the orbital septum is performed with Westcott scissors in order to identify the cyst. A Freer periosteal elevator is used to dissect along the surface of the cyst. Additional gentle blunt dissection can be performed with a cotton tip applicator. A cryo probe is then used to engage the surface of the cyst in order to retract it and prevent rupture with sharp forceps. Additional dissection is then performed with Westcott scissors. Dissection is carried out additionally with the Freer periosteal elevator until attachment to the bone is identified. The periosteal elevator can be used to incise the periosteum if needed to release the cyst from the attachments. Excision is completed with Westcott scissors, being careful not to rupture the cyst. The specimen is sent to the pathologist after removal. After hemostasis is assured, the incision can be closed with interrupted 5-0 fast absorbing sutures. Antibiotic ointment is placed over the repair and the patient returns in approximately one week. Over 300 oculoplastic surgery videos are available, free of charge, at http://www.oculosurg.com also...Happy Birthday and Happy Father's Day to you, Rich! |
| Category | Education |
| Tags | ophthalmology | oculoplastic | oculoplastics | oculofacial | eye surgery | medial dermoid cyst | cyst excision |
