Enbloc enucleation of a large intra-oral dermoid cyst under local anaesthesia: A case report and review of the literature

Abstract

A case of a large dermoid cyst in the floor of the mouth of a 22-year old Nigerian man is presented. Before presenting to us, the patient had visited several herbal homes and made many traditional rituals. Clinical examination revealed the presence of a large painless fluctuant mass in the floor of the mouth with corresponding protrusion of the submental region depicting a double chin in appearance. Simple needle aspiration of the lesion yielded no aspirate. A provisional diagnosis of dermoid cyst was made. The patient was admitted and enbloc enucleation of the lesion carried out under local anesthesia. The diagnosis was confirmed histologically. Clinical progress was uneventful and postoperative assessment after six months showed no recurrence. The patient management is hereby presented.

Keywords

• dermoid cyst; intra-oral; enucleation; local anaesthesia