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| Name | Dermoid Cyst Excision through a Lid Crease Incision |
| Video Uploader | Video From Pediatric Eye Surgery |
| Upload Date | This Video Uploaded At 22-08-2016 01:27:37 |
| Video Discription | Removal of a Dermoid cyst through a Lid Crease incision This is Dr. Scott Larson at the University of Iowa department of ophthalmology and I would like to show you a removal of a dermoid cyst through a lid crease incision First a lid crease incision was marked and the area was infiltrated with Lidocaine 1% with Epinephrine 1:100,000. A 15 blade was used to make a skin incision and then sharp dissection though the orbicularis is performed with Westcott scissors. Another option at this point would be to use a cutting/cauterizing instrument. Once through the orbicularis, the dermoid cyst is gently grasped and carefully dissected free of any fascial attachments or adhesions. The cyst is filled with a white paste that is quite inflammatory so care should be taken to avoid rupturing the cyst. A skin hook can be placed and held by an assistant to facilitate exposure. If the cyst is accidently entered, care should be taken to attempt to fully remove the parts of the cyst and not leave remnants behind. Copious irrigation can help remove cyst contents from the tissues. In this case you can see the cyst was bi-lobed. The skin is then closed with a two layer closure. In this case 5-0 Vicryl is used to close the orbicularis with an interrupted mattress style and this layer provides the strength of the closure. A few 6-0 plain gut sutures are then placed to close the approximated skin edges. Erythromycin ophthalmic ointment can then be placed on the cleaned wound. This incision will heal with the scar hidden in the upper lid crease. Thank you for watching. |
| Category | Science & Technology |
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