Journal of Maxillofacial and Oral Surgery

, Volume 17, Issue 2, pp 188–192 | Cite as

Simultaneous Occurrence of a Midline Sublingual Dermoid Cyst with Respiratory Epithelium and Submental Dermoid Cyst in a Paediatric Patient: A Case Report and Review of Literature

  • Manikandhan Ramanathan
  • Sivapathasundharam Balasundharam
  • Amelia Christabel
  • Preethi Murali
  • Sneha Pandem
Case Report



To present the case of a simultaneously occuring sublingual dermoid cyst with respiratory epthelium and a submental dermoid cyst, and also to review literatures on the same.


A complete examination, radiograph, MRI and excision biopsy of both lesions were carried out and diagnosis was arrived at histopathologically.


The histopathology of the submental swelling revealed orthokeratinized stratified squamous epithelium with underlying connective tissue consisting of dense irregularly arranged collagen fibres with fibroblasts along with chronic inflammatory cell infiltrate of lymphocytes and plasma cells. There was presence of sebaceous glands and sebum. Sublingual swelling showed non-keratinized stratified squamous epithelium with a fibrovascular connective tissue. Areas of pseudostratified ciliated columnar epithelium were also evident in some areas. Presence of sebaceous glands also seen. Based on these findings a confirmatory diagnosis of sublingual dermoid cyst with respiratory epithelium and submental dermoid cyst was made.


This report throws light on midline lesions of the oral cavity and hopes to add this rare case into the current differential diagnosis of the same.


Sublingual cyst Midline swelling Dermoid cyst Histopathology Simultaneous lesions 


  1. 1.
    Worley CMD, Laskin M (1993) Coincidental sublingual and submental epidermoid Cysts. J Oral Maxillofac Surg 51:787–790CrossRefPubMedGoogle Scholar
  2. 2.
    Calderon S, Kaplan I (1993) Concomitant sublingual and submental epidermoid cyst. A case report. J Oral Maxillofac Surg 51:790–792CrossRefPubMedGoogle Scholar
  3. 3.
    Faerber TH, Hiatt WR, Dunlap C (1988) Congenital teratoid cyst of the floor of the mouth. J Oral Maxillofac Surg 46:487–490CrossRefPubMedGoogle Scholar
  4. 4.
    Meyer I (1955) Dermoid cysts of floor of the mouth. Oral Surg 8:1149–1164CrossRefPubMedGoogle Scholar
  5. 5.
    Oygur T, Dursun A, Uluoglu O et al (1992) Oral congenital dermoid cyst in the floor of the mouth of a new born. Oral Surg Oral Med Oral Pathol 74(5):627–630CrossRefPubMedGoogle Scholar
  6. 6.
    Eppley BL, Bell MJ, Sclaroff A (1985) Simultaneous occurrence of dermoid and heterotopic intestinal cysts in the floor of the mouth of a new born. J Oral Maxillofac Surg 43:880–883CrossRefPubMedGoogle Scholar
  7. 7.
    De Fatima Bernardes V, De Lacerda JCT, De Aguiar MCF et al (2008) Calcifying odontogenic cyst associated with an orthokeratinized odontogenic cyst. Head Neck Pathol 2:324–327CrossRefPubMedPubMedCentralGoogle Scholar
  8. 8.
    Manor Y, Buchner A, Peleg M et al (1999) Lingual cysts with respiratory epithelium: an entity of debatable histogenesis. J Oral Maxillofac Surg 57:124–127CrossRefPubMedGoogle Scholar
  9. 9.
    Goalin RJ (1957) Potentialities of oral epithelium manifest by mandibular dentigerous cyst. Oral Surg 10:271CrossRefGoogle Scholar
  10. 10.
    Hettwer KJ (1982) Large cyst of the mandible partially lined by ciliated epithelium. J Oral Maxillofac Surg 40:185–187CrossRefPubMedGoogle Scholar
  11. 11.
    Gleizal A, Abouchebel N, Lebreton F et al (2006) Dermoid cyst of the tongue: an association of dermoid cyst with bronchogenic epithelium. J Cranio Maxillofac Surg 34:113–116CrossRefGoogle Scholar
  12. 12.
    Ho MWS, Crean SJV (2013) Simultaneous occurrence of sublingual dermoid cyst and oral alimentary tract cyst in an infant: a case report and review of the literature. Int J Paediatr Dent 13:441–446CrossRefGoogle Scholar
  13. 13.
    Boffano P, Zavattero E, Campisi P et al (2009) Surgical treatment of an oral cyst with respiratory epithelium. J Craniofac Surg 4:1275–1277CrossRefGoogle Scholar
  14. 14.
    Kim YS, Ahn SK, Lee SH (1998) Sublingual foregut cyst. J Dermatol 25:476–478CrossRefPubMedGoogle Scholar
  15. 15.
    Ho MW, Crean SJ (2003) Simultaneous occurrence of sublingual dermoid cyst and oral alimentary tract cyst in an infant: a case report and review of the literature. Int J Paediatr Dent 13:441–446CrossRefPubMedGoogle Scholar
  16. 16.
    Burkart C, Brinkman J, Willing J et al (2005) Lingual cyst lined by squamous epithelium. Int J Paediatr Otorhinolaryngol 69:1649–1653CrossRefGoogle Scholar

Copyright information

© The Association of Oral and Maxillofacial Surgeons of India 2016

Authors and Affiliations

  1. 1.Department of Oral and Maxillofacial SurgeryMeenakshi Ammal Dental College and HospitalChennaiIndia
  2. 2.Department of Oral Pathology and MicrobiologyMeenakshi Ammal Dental College and HospitalChennaiIndia
  3. 3.Cleft and Craniofacial UnitMeenakshi Ammal Dental College and HospitalChennaiIndia

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