Skip to main content

Postauricular epidermoid and dermoid cysts in adults

Abstract

Background

Compared with other cutaneous cysts of the head and neck region, postauricular epidermoid and dermoid cysts are rare, asymptomatic benign swellings.

Aim

To describe the clinical profile of postauricular dermoid and epidermoid cysts in adults.

Patients and Methods

A descriptive retrospective study was conducted on patients older than 16 years, diagnosed histologically with postauricular epidermoid and dermoid cysts who presented to the Ear, Nose and Throat Clinic of the Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria, from January 2005 to December 2017.

Results

A total of eight patients were reviewed: two (25%) males and six (75%) females. The age ranged from 22 to 55 years (mean age, 30.1±11.2 years). Most cases (seven, 87.5%) were epidermoid cysts. The mean duration of cystic swellings was 9.8±5.7 years. All the patients presented with asymptomatic postauricular extracranial cysts mostly at the left postauricular side (five, 62.5%).

Complete surgical excision was carried out for all the lesions, and no recurrence was observed in the two (25%) patients who came for follow-up; the rest were lost to follow-up.

Conclusion

Postauricular cysts, mostly epidermoid cyst, are rare unilateral asymptomatic, extracranial swellings that are associated with a delay in seeking medical intervention.

References

  1. 1

    Jyothi SR, Sathyaki DC, Mohan M, Swaroop DM, Manjunah K, Shah WA, et al. Epidermoid cysts of head and neck. J Evol Med Dent Sci 2013; 2:7533–7536.

    Article  Google Scholar 

  2. 2

    Cho Y, Lee DH. Clinical characteristic of idiopathic epidermoid and dermoid cyst of the ear. J Audiol Otol 2017; 21:77–80.

    Article  Google Scholar 

  3. 3

    Dutta M, Saha J, Biswas G, Chattopadhyay S, Sen I, Sinha R. Epidermoid cyst in head and neck: our experiences, with review of literature. Indian J Otolaryngol Head Neck Surg 2013; 65 (Suppl 1):S14–S21.

    Article  Google Scholar 

  4. 4

    De Souza BA, Dey C, Carven N. A rare case of dermoid cyst behind the ear. Plast Reconstr Surg 2003; 112:1992.

    Article  Google Scholar 

  5. 5

    Al-Khateeb TH, Al-Masri NM, Al-Zoubi F. Cutaneous cysts of the head and neck. J Oral Maxillofac Surg 2009; 67:52–57.

    Article  Google Scholar 

  6. 6

    Dive AM, Khandekar S, Moharil R, Deshmukh S. Epidermoid cyst of the outer ear: a case report and review of literature. Indian J Otol 2012; 18:34–37.

    Article  Google Scholar 

  7. 7

    Awasthi N. Postauricular dermoid cyst: an unusual presentation. Int J Health Allied Sci 2017; 6:121–122.

    Google Scholar 

  8. 8

    Horikiri M, Ueda K, Kato M. Dermoid cyst of the auricle: a rare manifestation. BMJ Case Rep 2014; 2014:bcr2014205826.

  9. 9

    Tiwari R, Sangole V. Recurrent postauricular dermoid cyst: a case report. Int J Case Rep Images 2013; 4:415–418.

    Article  Google Scholar 

  10. 10

    Srivastava A, Mohan C, Agrawal R, Bhardwaj P. Malignant changes in twin epidermoid cyst in neck: a rare case report. Otolaryngol Online J 2017; 7:146.

    Google Scholar 

  11. 11

    Bauer DJ, Diwan R, Honig BK, Yokel B. Large asymptomatic mass on the ear. Dermoid cyst of the auricle. Arch Dermatol 1994; 130:913–914 916–917.

    CAS  PubMed  Google Scholar 

  12. 12

    Sabhalot SS, Shetty LS, Sarve PH, Setiya SV, Bharadwaj SR. Epidermoid and dermoid of the head and neck region. Plast Aesthet Res 2016; 3:347–350.

    Article  Google Scholar 

  13. 13

    Pryor SG, Lewis JE, Weaver AL, Orvidas LJ. Pediatric dermoid of the head and neck. Otolaryngol Head Neck Surg 2005; 132:938–942.

    Article  Google Scholar 

  14. 14

    Jung HK, Choi JH, Nam HD. Characteristic of dermoid cyst of the auricle. Arch Craniofac Surg 2014; 15:22–27.

    Article  Google Scholar 

  15. 15

    Park SO, Ko KD. A histopathology study of study of epidermoid cyst in Korea: comparison between rupture and unruptured epidermal cyst. Int Clin Exp Pathol 2013; 6:242–248.

    Google Scholar 

  16. 16

    Linkov G, Kanev PM, Isaacson G. Conservative management of typical pediatric postauricular dermoid cysts. Int J Pediatr Otorhinolaryngol 2015; 79:1810–1813.

    Article  Google Scholar 

  17. 17

    Stephenson GC, Ironside JW. Squamous cell carcinoma arising in a subcutaneous dermoid cyst. Postgrad Med J 1991; 67:84–86.

    CAS  Article  Google Scholar 

Download references

Author information

Affiliations

Authors

Corresponding author

Correspondence to Abdullahi Mohammed MBBS, FWACS.

Additional information

This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.

Rights and permissions

This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Mohammed, A., Abdullahi, K. Postauricular epidermoid and dermoid cysts in adults. Egypt J Otolaryngol 34, 213–216 (2018). https://doi.org/10.4103/ejo.ejo_33_18

Download citation

Keywords

  • dermoid cyst
  • epidermoid cyst
  • postauricular swellings