Abordagem transcervical para exérese transmilohioideia de quisto dermoide do pavimento da boca

Abstract

There are some controversies in the literature between exclusive intraoral or combined intraoral and cervical surgical approaches to transmylohyoid mouth floor dermoid cysts removal, especially when there is a large cyst. We report the case of a 46-year-old male presenting a giant transmylohyoid dermoid cyst which completely occupied both sublingual and submandibular spaces. The patient underwent a surgical treatment by exclusive cervicotomy with adequate exposition of the sublingual space without oral incisions. Discussion is focused on the unusual surgical approach employed and on how it compares to others reported surgical approaches for mouth floor dermoid cysts.