Presentation and Management Outcome of Anterior Fontanelle Dermoid Cyst: Report of 6 Cases

Aim: The aim of study is highlight the presentation of anterior fontanelle Dermoid cyst which is relatively uncommon condition, and our ability to excised the cysts in our resource poor environment.

Presentation of Cases: A retrospective study of all the consecutive patients managed by pediatric surgery unit over six years was done and the results was analysed and documented.

A total of six patients was managed over a period of five years including 4 boys and 2 girls. The age ranges between 6months to five years.

Discussion: Dermoid cysts are inclusion cyst mostly seen in the midline. 1, 2 They occur in head and neck or the trunk. It is a benign, slowly growing lesion, dermoid cysts are thought to arise during the third and fifth week of embryogenesis from displacement of germ cells during the formation of the neural tube.

All of the patients had excision under general anesthesia. The intra operative finding is a global, cystic swelling containing amber to yellow color jelly fluid.

All the patients were operated as day case surgery and were discharged home about four to six hours after recovery from anesthesia. All the patients did well postoperatively, only one patient had surgical site infection which was treated with antibiotics and wound dressing.

Conclusion: Dermoid cyst is an uncommon congenital cyst mostly diagnosed during infancy, following excision recurrence is uncommon.