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Surgical Endoscopy

, Volume 27, Issue 2, pp 685–688 | Cite as

Laparoendoscopic excision of sternal subcutaneous dermoids in children

  • Joanne Baerg
  • Jukes Namm
  • J. Andres AstudilloEmail author
  • Jasmine Wong
  • Marcos Michelotti
  • Gerald Gollin
Technique
Endoscopic innovation has allowed surgeons from multiple specialties to excise benign, subcutaneous lesions of the periorbit, nasoglabella, scalp, and trunk with minimal scarring [ 1, 2, 3, 4, 5, 6, 7]. Since Ikeda described thyroidectomy by the endoscopic, axillary approach, otolaryngologists substitute a visible neck scar, with a scarless technique [ 8]. Dermoid cysts are common in children [ 9]. They develop along the embryonic fusion lines and are formed by a discrete wall of skin epithelium and appendages [ 10]. Surgical removal is the treatment of choice [ 1]. Standard excision of sternal dermoids is associated with poor cosmesis and possibly negative psychological consequences [ 11, 12, 13]. To avoid a prominent scar, three children had midline, subcutaneous, sternal dermoids removed by an endoscopic approach (Fig.  1).

Keywords

Dermoid Endoscopic approach Sternum Paediatrics 

Supplementary material

Supplementary material 1 (WMV 37342 kb)

References

  1. 1.
    Chater-Cure G, Hoffman C, Knopman J et al (2011) Endoscopy-assisted removal of periorbital inclusion cysts in children. J Neurosurg Pediatrics 7:161–164CrossRefGoogle Scholar
  2. 2.
    Steele MH, Suskind DL, Moses M et al (2002) Orbitofacial masses in children: an endoscopic approach. Arch Otolaryngol Head Neck Surg 128:409–413PubMedGoogle Scholar
  3. 3.
    Lin SD, Lee SS, Chang KP et al (2001) Endoscopic excision of benign tumors in the forehead and brow. Ann Plast Surg 46:1–4PubMedCrossRefGoogle Scholar
  4. 4.
    Guerrissi JO (2004) Endoscopic excision of frontozygomatic dermoid cysts. J Craniofac Surg 15:618–622PubMedCrossRefGoogle Scholar
  5. 5.
    Lee S, Teber M, Mancini R et al (2010) Endoscopic removal of nasoglabellar cysts. Opthal Plast Reconstr Surg 26:136–139CrossRefGoogle Scholar
  6. 6.
    Pricola KL, Dutta S (2010) Stealth surgery: subcutaneous endoscopic excision of benign lesions of the trunk and lower extremities. J Pediatr Surg 45:840–844PubMedCrossRefGoogle Scholar
  7. 7.
    Huang MH, Cohen SR, Burstein FD et al (1977) Endoscopic pediatric plastic surgery. Ann Plast Surg 38:1–8CrossRefGoogle Scholar
  8. 8.
    Ikeda Y, Takami H, Nimi M et al (2001) Endoscopic thyroidectomy by the axillary approach. Surg Endosc 15:1362–1364PubMedCrossRefGoogle Scholar
  9. 9.
    Pollard ZF, Harley RD, Calhoun J (1976) Dermoid cysts in children. Pediatrics 57:379–382PubMedGoogle Scholar
  10. 10.
    Senchenkov A, Clay RP (2005) Endoscopic removal of dermoid cysts of the eyebrow in pediatric patients. Ann Plast Surg 55:595–598PubMedCrossRefGoogle Scholar
  11. 11.
    Lista FR, Thomson HG (1988) The fate of sternotomy scars in children. Plast Reconstr Surg 81:35–39PubMedCrossRefGoogle Scholar
  12. 12.
    Brown BC, McKenna SP, Siddhi K et al (2008) The hidden cost of skin scars: quality of life after skin scarring. J Plast Reconstr Aesthet Surg 61:1049–1058PubMedCrossRefGoogle Scholar
  13. 13.
    Tebble NJ, Adams R, Thomas DW et al (2006) Anxiety and self-consciousness in patients with facial lacerations one week and six months later. Br J Oral Maxillofac Surg 44:520–525PubMedCrossRefGoogle Scholar
  14. 14.
    Dutta S, Slater B, Butler M et al (2008) “Stealth surgery”: transaxillary subcutaneous endoscopic excision of benign neck lesions. J Pediatr Surg 43:2070–2074PubMedCrossRefGoogle Scholar
  15. 15.
    Erel E, Southern SJ, Ramakrishnan V (2001) Endoscopic-assisted transaxillary removal of a midline anterior epidermoid cyst. Br J Plast Surg 54:545–547PubMedCrossRefGoogle Scholar
  16. 16.
    Tan CT, Cheah WK, Delbridge L (2008) “Scarless” (in the neck) endoscopic thyroidectomy (SET): an evidence based review of published techniques. World J Surg 32:1349–1357PubMedCrossRefGoogle Scholar
  17. 17.
    Kuppersmith RB, Salem A, Holsinger FC (2009) Advanced approaches for thyroid surgery. Otolaryngol Head Neck Surg 141:340–342PubMedCrossRefGoogle Scholar
  18. 18.
    Lobe TE, Wright SK (2011) The transaxillary, totally endoscopic approach for head and neck endocrine surgery in children. J Laparosendosc Adv Surg Tech A 21:97–100CrossRefGoogle Scholar
  19. 19.
    Kommu SS, Rané A (2009) Devices for laparoendoscopic single-site surgery in urology. Expert Rev Med Devices 6:95–103PubMedCrossRefGoogle Scholar
  20. 20.
    Pryor SG, Lewis JE, Weaver Al, Orvidas LJ (2005) Pediatric dermoid cysts of the head and neck. Otolaryngol Head Neck Surg 132:938–942PubMedCrossRefGoogle Scholar
  21. 21.
    Wang Y, Zhao HP, Zhu H et al (2010) Clinical manifestations, diagnosis and management of recurrent orbital dermoid cysts. Zhonghua Yan Ke Z Zhi 46:295–298Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Joanne Baerg
    • 1
  • Jukes Namm
    • 2
  • J. Andres Astudillo
    • 2
    Email author
  • Jasmine Wong
    • 2
  • Marcos Michelotti
    • 2
  • Gerald Gollin
    • 1
  1. 1.Department of Pediatric SurgeryLoma Linda UniversityLoma LindaUSA
  2. 2.Department of General SurgeryLoma Linda UniversityLoma LindaUSA

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