Removal Of Cyst Research Articles

A Modified Approach for Arthroscopic Excision of Dorsal Midcarpal Ganglion Cysts Using Radiocarpal Portals.

Wrist arthroscopy could be a treatment option for dorsal ganglion cysts. To achieve a thorough dorsal capsulectomy for the removal of midcarpal ganglion cysts, it is commonly necessary to combine both the radiocarpal and midcarpal portals. We present a modified method using radiocarpal portals only for arthroscopically excising dorsal midcarpal ganglion cysts. No extra midcarpal portals are necessary, and the method potentially generates satisfactory results.

Para-implant residual cyst: A case report and review of the literature

Residual Cyst (RC) is an odontogenic inflammatory pathology that appears at the site of a previous odontogenic inflammatory lesion. In this report, we present a 65-year-old male, with a history of pulpal pathology in tooth 2.5, which was extracted and treated with dental implants. He currently refers pain in the upper left maxilla with great peri-implant probing depth and marginal bone loss. During the surgical procedure, a para-implant lesion was discovered and sent for analysis. This corresponded to an odontogenic cyst without inflammation and a non-keratinized polystratified epithelial lining, with positive expression for CK14 and CK19. Final diagnosis was para-implant residual cyst. To date, five para-implant residual cysts have been described. These cystic lesions appear as an irregular radiolucency with marginal bone loss. In most cases, the implant remains stable after cyst removal. It is key to perform a good clinical history and radiological examination in patients with dental implants, as well as an active monitoring, in order to reach an early diagnosis of the peri-implant disorders.

Microphthalmia with a Large Orbital Cyst: A Case Report

Purpose: We present the case of a 4-month-old boy with a large orbital cyst that caused lateral displacement of the optic nerve resulting in progressive exophthalmos of the left eye since birth.Case summary: A 4-month-old boy presented with progressive exophthalmos of the left eye since birth. Physical examination revealed marked left eye proptosis. Magnetic resonance imaging revealed microphthalmia and a 2.2 × 1.9 cm orbital cyst in the retrobulbar region. Subsequently, an anterior orbitotomy of the left eye was performed to dissect and excise the cyst. Histopathological examination revealed an orbital cyst containing neuroectodermal tissue. No complications or recurrences were observed during the 3-month post-surgery period.Conclusions: Congenital microphthalmia with orbital cysts is a rare condition that does not always require surgical intervention. However, timely surgical intervention in cases of severe exophthalmos can result in favorable functional and cosmetic outcomes. We present a case that exhibited significant improvement following surgical removal of the orbital cyst.

Giant Cyst as a Dermis Fat Graft Complication in Socket Anophthalmia Post Enucleation

Introduction : Enucleation is often performed in children diagnosed with advanced unilateral group E retinoblastoma as a primary treatment to save life. After performing enucleation, a Dermis Fat Graft (DFG) is often placed inside the socket to give volumes into the orbital cavity. A dermis fat graft hopefully will grow along with the children, promoting orbital bone development. Rare complications following dermis fat graft implant is cyst formation. The purpose is to present a case of giant orbital cyst formation in socket anophthalmia.
 Case Illustration : A 6 year old boy came with proptotic left socket anophthalmia with history of enucleation with DFG for retinoblastoma. On examination, we found a proptotic socket 1.5 years after enucleation. CT Scan examination revealed cyst formation on left socket anophthalmia. We did a cyst excision using cryo and implanted 16 mm acrylic implant for the socket reconstruction.
 Discussion : Cyst is minor complications following DFG implantation in socket anophthalmia. It’s estimated occurred in 1.5-3.8% patients. Some of the causes are gaps in between the dermis and recipient bed, epithelial island residue on DFG, or delayed conjunctivalization of the dermis. Cyst excision with careful dissection is the main management for this cases, preferably using cryo probe in order to remove the cyst in toto.
 Conclusion : Management for the giant cyst removal following DFG implant is a challenging task due to the recurrence possibility. Complete cyst excision and replacement of orbital implant is mandatory in order to re-establish the cosmetic appearance of the patient.

The nature of abdominal surgery for polycystic kidney disease in animals and the role of sonographic indicators at different stages of surgical intervention: A literature review

Analysis of the method of using sonography during surgery in animals with polycystic kidney disease is an urgent task since firstly, sonography is a safe and non-invasive method of examination, which allows determining the structural features of the kidneys before, during, and after surgery. Secondly, from the standpoint of improving the results of surgery, sonography helps to clarify the localisation of cysts and determine their size. Thirdly, an important factor in the use of sonography is the reduction of pain and the risk of postoperative complications. In addition, due to this method of kidney examination, it is possible to more accurately determine the optimal route of access to cysts, which helps to reduce tissue injury and ensures rapid recovery of the animal after surgery. The purpose of the study is to analyse in detail and describe the method of using sonography during surgery in animals with polycystic kidney disease. The study focuses on the need to determine how sonography affects reducing the duration of surgery, improving the quality of cyst removal, and reducing the risk of complications during abdominal surgery. The approach in this study is based on the analysis of scientific papers on this subject, in particular on the experience of veterinarians who have already used sonography during abdominal operations in animals with polycystic kidney disease. Thus, special techniques of sonography and surgical treatment of kidney cysts include dopplerography, colour dopplerography, 3D and 4D sonography, elastography, introperative sonography, intraperitoneal sonography, and duplex scanning of renal arteries and veins. Surgical methods of treatment include extraction of individual cysts, drainage of cysts, resection, and nephrectomy. The use of sonography at different stages of surgical intervention helps to optimise the operation process, reduce the risk of complications, and contribute to the introduction of new approaches in the treatment of animals with polycystic kidney disease, which will substantially improve their quality of life

Rhinoresistometry as a Cost-Efficient and Time-Saving Alternative to Acoustic Rhinometry for Longitudinal Assessment of Nasal Patency in Orthognathic Surgery.

Rhinoresistometry (RRM) is implemented along with active anterior rhinomanometry (AAR) and can evaluate nasal dimensions [hydraulic diameter (HD)]. As acoustic rhinometry (AR) is time-consuming, the authors investigated if RRM can be an efficient alternative to AR in nasal dimension assessment in orthognathic surgery. In patients undergoing maxillary advancement and impaction (cases) and removal of maxillary cysts (controls), the authors evaluated RRM and AR, before and 1 year after surgery. Furthermore, the authors investigated the correlation of HD with Nasal Obstruction Symptom Evaluation score and volume by computed tomography and AAR. Lastly, the authors measured RMM reproducibility by the Bland-Altman agreement method in controls. In 14 cases, AR and RMM revealed a significant increase on both sides (all P < 0.011) and the right side, respectively (P = 0.028). The authors noted no changes in 14 controls. Hydraulic diameter correlated only with AAR (most P < 0.004). Acoustic rhinometry lasted ~4 minutes before or after decongestion. In controls, HD after surgery was as large (1.05 times larger) as before surgery (up to 39% error rates). Rhinoresistometry can reproducibly assess nasal dimension changes in orthognathic surgery in a way that is different from AR and correlates with nasal function. Rhinoresistometry can help clinicians avoid AR and save significant time, as well as financial and human resources.

Efficacy of Ethanol Sclerotherapy Versus Laparoscopic Excision in the Treatment of Ovarian Endometrioma.

The purpose of this study was to examine the recurrence rates of ovarian endometrioma, dysmenorrhea, dyspareunia, and related complications between sclerotherapy and laparoscopic ovarian cystectomy in individuals aged 25 to 38. Eighty-eight women participated in this retrospective, single-center study between January 2020 and February 2022. Patients received either laparoscopy or sclerotherapy, depending on the opinion of the pertinent physician. In this study, the following parameters were retrospectively analyzed in follow-up visits 2, 6 and 12months after sclerotherapy and laparoscopy: dysmenorrhea and dyspareunia by visual analog scale, complications following the intervention, and serial pelvic sonograms for endometrioma cyst recurrence. Moreover, serum Anti-Müllerian hormone (AMH) level before and 6months after sclerotherapy/surgery were analyzed. The collected data were then analyzed using R software. The results demonstrate the efficiency of both sclerotherapy and laparoscopic techniques in reducing endometrioma-related dysmenorrhea and dyspareunia over a 12-month period. There was no statistically significant difference in the occurrence of complications and recurrence rate between these two therapies, and both are equally beneficial. Also, the rate of AMH decline after laparoscopy was higher than sclerotherapy; however there was not a statistically significant change in serum level of AMH in laparoscopy compared to the sclerotherapy after 6months. Considering all the data, it appears that sclerotherapy, with its lower cost, shorter hospital stay, and quicker return to activities, can be a laparoscopic alternative to endometrioma cyst removal. More studies are required.

The Outcome of Surgical Removal of Thyroglossal Cyst in Children; Experience of a Decade

Objective: To present postoperative outcome of surgical removal of thyroglossal cyst (TC) in children; single surgeon’s experience of a decade. Methodology: This is a retrospective study of 10 children admitted at Northern Area Armed Forces Hospital, Hafer Al Batin, Saudi Arabia, with the diagnosis of TC between period of June 2011 to October 2021. All the patients were managed by single surgeon by surgical removal with an average follow up of 5 years. There were six males and six females. The diagnosis was confirmed on clinical examination and supported by ultrasound evaluation of upper neck midline swelling. Surgical excision was done by Sistrunk procedure under general anesthesia. The outcome of surgical treatment of thyroglossal cyst is evaluated post operatively during an average regular follow up of 5 years. Results: All the 10 children were operated by Sistrunk procedure during the period from June 2011 to October 2021 who were admitted with diagnosis of thyroglossal cyst. There were no associated anomalies. All the patients had excellent cosmetic outcome without any problem of wound infection. There is no recurrence of thyroglossal cyst in this series. Conclusion: Sistrunk surgical procedure to treat thyroglossal cyst in children is safe, effective and feasible with good cosmetic results. It avoids recurrence of thyroglossal cyst and morbidity. We recommend Sistrunk operation as gold standard to treat children with TC.

Blood Collection for Autologous Blood-Derived Product Preparation: Technique and Application

Background: In periodontics, interest in use of autologous blood-derived products (ABPs) has increased due to demonstrated safety, enhanced initial healing, and for some applications, superior clinical outcomes. Periodontists commonly place peripheral intravenous catheters for moderate sedation, thus encountering opportunities to utilize ABPs routinely. The purpose of this report is to describe a safe blood collection technique for ABP preparation and define typical blood volume requirements for periodontal procedures. Methods: Five cases requiring various amounts of liquid and membrane-formed platelet-rich fibrin are presented. Case 1 involves treatment of an infrabony periodontal defect. Case 2 illustrates alveolar ridge preservation at a maxillary right second premolar site. Case 3 demonstrates repair of a defect related to nasopalatine duct cyst removal. Cases 4 and 5 illustrate the use of PRF in sinus elevation and root coverage, respectively. Results: Use of PRF in the presented cases added minimal procedural time and expense. Blood samples varied from 20 to 60 ml in volume. There were no complications related to blood collection or use of PRF. Each patient reported minimal discomfort limited to the first few postoperative days. Favorable early healing was observed in each case. Conclusions: The blood collection method described in this report, which is consistent with published standards of practice, necessitates few additional steps and supplies for practitioners already placing peripheral intravenous catheters. Blood volumes necessary for typical procedures in periodontics are safe and well below maximum attainable samples.

Apocrine Hidrocystoma- A Histological Diagnosis

An Asian female in her 20s, presented with a painless swelling in the left upper eyelid for 2 years. A cystic, non-tender, well defined swelling of 3 by 4 mm with a punctum was seen in the medial aspect of left upper eyelid. Best corrected visual acuity was 20/20 in both eyes, with anterior and posterior segment examination within normal limits in both eyes. Provisional diagnosis of Sebaceous cyst was made, excision of cyst was planned for cosmetic indication. Cyst removal in toto was done and sent for histopathological examination. HPE report was awaited and came the surprise report - APOCRINE HIDROCYSTOMA, a rare, benign, cystic tumor of the apocrine sweat glands. Since surgical excision is the treatment option for apocrine hidrocystoma, patient was informed of the same and reassured. The diagnosis is histological and hence apocrine hidrocystoma must be kept in mind while considering differential diagnosis of cystic lesions in ocular adnexa.

Utilizing tubular retractors in colloid cyst resection: A single surgeon experience.

Colloid cysts are intracranial lesions originating from abnormalities in the primitive neuroepithelium folding of the third ventricle. Various surgical approaches have been explored for the management of colloid cysts, each carrying its own set of advantages and limitations. Tubular retractors developed recently alleviate retraction pressure through radial distribution, potentially offering benefits for colloid cyst resection. This study aims to introduce and assess a modified microsurgical method utilizing the tubular retractor for addressing colloid cysts. The study included a retrospective assessment of patients who had colloid cysts and who were treated between 2015 and 2023 by one experienced surgeon. The demographic, clinical, radiological, histological, and surgical data regarding these patients were evaluated. The patients were assessed using the colloid cyst risk score, indicating a risk for obstructive hydrocephalus. The minimally invasive microsurgical approach was successfully applied to all 22 identified patients. No postoperative surgical complications were reported. Gross total resection was achieved in 21 (95.5%) patients. The early complication rate was 22.7% (n = 5). There were no postoperative seizures, permanent neurological deficits, or venous injuries. The average hospital stay was 3 days. There was no evidence of recurrence at an average follow-up length of 25.9 months. The transtubular approach is an effective, safe method for treating colloid cysts. It achieves complete cyst removal with minimal complications, offering the benefits of less invasiveness, improved visualization, and reduced tissue disruption, strengthening its role in colloid cyst surgery.

Thyroid Cyst Removal with Hemithyroidectomy

Thyroid Cyst Removal with Hemithyroidectomy

Surgical removal of Coenurus cerebralis cysts located in the brain of sheep

ABSTRACT Coenurosis caused by Coenurus cerebralis poses a significant economic threat to sheep. To date, no effective treatment has been identified for this parasitic infection once it has settled in the brain. This study aimed to investigate the surgical removal of C. cerebralis cysts from the brains of infected sheep. Twenty sheep were utilized in the experiment, and the animals underwent a 24-hour fasting period before the surgical procedure. Various biochemical parameters, including TP, ALP, BUN, AST, CK, LDH, RBC, WBC, Hb, and Hct, were measured in the animals both before and one month after the operation. Anesthesia was induced by administering 2.2 mg/kg IV ketamine hydrochloride, five minutes after the administration of 0.1 mg/kg IV xylazine hydrochloride. Following anesthesia, the trepanation site was determined through percussion. Subsequently, an incision was made in the skin, exposing the skull bone. The skull was opened using a scalpel through trepanation, and the cysts were carefully removed. The results demonstrated that the presented surgical technique effectively treated C. cerebralis cysts in the sheep's brains, restoring normal motor and metabolic functions. Given these outcomes, it is concluded that the proposed surgical technique holds promise for practical application in the field.

Enucleation of jaw cyst combined with intentional replantation to retain cyst-involved teeth

BackgroundJaw cysts often deeply involve adjacent tooth roots, making it difficult to preserve them. The purpose of this retrospective study was to investigate the effectiveness of an intentional replantation (IR) strategy combined with cyst enucleation in preserving cyst-involved teeth during jaw cyst removal. Materials and MethodsFifteen patients with jaw cysts and deeply involved teeth were treated with IR and cyst enucleation. All patients received root canal therapy prior to surgery, except for one patient who received it during surgery. The involved teeth were extracted, and the root surface was carefully cleaned before IR and cyst enucleation. Patients were followed up for 12–14 months, with indicators including clinical complaints, replanted tooth stability, and root resorption. ResultsNo cyst recurrence was observed, and all replanted teeth survived with good local gingival condition and no marked swelling or recession. Radiographic findings showed clear periodontal space surrounding the replanted teeth. One replanted tooth exhibited slight root resorption due to occlusal trauma, but the resorption ceased after occlusal adjustment. ConclusionsIR combined with cyst enucleation is an effective strategy for thoroughly cleaning jaw cysts and preserving teeth involved in the cyst.

Epidural Spinal Cord Compression by an Abscess from a Dumbbell Extension of a Non-Osseous Soft Tissue Paravertebral Hydatid Cyst in the Dorsal Region

Background and objectives: Human being may become infested with Echinococcus granulosus, as an intermediate host, ending with the formation of hydatid cyst. Hydatidosis, affecting various parts of human body and should be considered in the differential diagnosis of any cystic mass lesion. Osseous Hydatid cyst is rare; however, it involves the spinal column in half of the cases. In the current study, the epidural hydatid cyst had presented with spinal cord compression due to the formation of an epidural abscess formation. Methods: A young adult housewife lady who had been affected by the parasite, primary paravertebral hydatid cyst, between the seventh and ninth dorsal vertebral levels, presented with spinal cord compression due to epidural abscess lesion. Ultrasound, the contrast magnetic resonance, and computed tomography imaging are standard tests in the diagnostic work-up of the lesion and follow-up of the patient. Appropriate dorsal laminectomy, removal of the hydatid cyst, and the inflammatory epidural cystic compressing tissues were done. Results: Operative intervention had resulted in a dramatic improvement in the patient's condition and reversal of her neurological deficit back to normal; the paravertebral ectocyst size had eventually shrunken and there was no recurrence. The excised tissues that were compressing the dorsal spinal cord proved, Histopathologically, to be inflammatory in its microscopical appearance. Conclusions: Hydatid cyst epidural dumbbell extension may rupture and lead to the formation of an abscess, giving enhancement on contrast magnetic resonance and computed tomography scan studies. To our knowledge, this is the first case to be reported in the literature specifying spinal cord compression by an epidural abscess formation from a paraspinal dumbbell extension of hydatid cyst.

Preoperative examination and intraoperative cerebrospinal fluid leakage test for minimally invasive surgery of spinal extradural arachnoid cysts: illustrative case.

Spinal extradural arachnoid cysts (SEACs) are rare and can cause spinal dysfunction. Total cyst removal and duraplasty via multiple laminectomies are commonly performed. However, to avoid postoperative spinal deformity and axial pain, a minimally invasive surgery via selective laminectomy may be optimal. Therefore, preoperative detection of the dural fistula site is required. A 25-year-old male presented with a 2-month history of progressive gait disturbance and back pain. Conventional magnetic resonance imaging (MRI) revealed SEACs at the T9 to L2 level but did not reveal the dural fistula. Further examinations were performed using sagittal time-spatial labeling inversion pulse MRI and cone-beam computed tomography myelography with a spinal intrathecal catheter, which indicated a dural fistula on the left side at the T12 level. On the basis of these results, dural repair was performed via selective laminectomy. Furthermore, an intraoperative cerebrospinal fluid leakage test by intrathecally injecting saline via a spinal catheter confirmed complete closure of the dural fistula, with no other fistulas. These comprehensive pre and intraoperative examinations may be useful for minimally invasive and selective surgeries in patients with SEACs.

Autotransplantation for Restoration of Dentition Defects After Excision of Jaw Cysts.

Bone defect caused by jaw cystectomy has always been the main factor affecting postoperative wound healing and is also the common cause of maxillofacial bone defect, which brings challenges to the subsequent restoration of missing teeth. In this paper, the authors report a 22-year-old young woman who had a mandibular cyst in the left lower posterior tooth area. She underwent mandibular bone cyst excision and simultaneous extraction of teeth 36 and 37. One and two months after the removal of the mandibular bone cyst, autologous tooth transplantation was performed in stages from tooth 28 to tooth 36 and from tooth 18 to tooth 37. The case shows that tooth autotransplantation is a viable option for the restoration of dentition defects after the excision of jaw cysts, which can promote the healing of the bone defect after the operation.

Retrospective study of 69 cases of cerebral cystic echinococcosis in patients admitted to National hospital in Bishkek city, Kyrgyzstan

Introduction and Aim: Cystic echinococcosis (CE) is a severe, widespread parasitic sickness that continues to be a significant health concern in many countries. The goal of the study was to find out how well ozonized saline solution (O3SS) cleans hydatid cysts to improve the results of neurosurgical treatment for patients with cerebral CE and to make suggestions for preventing the disease. Methods: This study included 69 patients with cerebral CE who were operated in our hospital. The diagnosis was confirmed at the time of the surgery, which allowed us to evaluate the data of computerized tomography in 22 (31.9%) and magnetic resonance imaging in 47 (68.1%) patients of the brain. Results: All 69 examined patients presented with cysts of parasitic origin, which were confirmed intraoperatively. Intact removal of hydatid cysts using the Dowling-Orlando technique was performed in 43 cases (62.3%). The best exposure duration for processing residual cavities in brain echinococcosis utilizing O3SS is 10 minutes. The duration of the follow-up period ranged from 8–18 months. Conclusion: When larvocysts of CE are exposed to 10–15 mg/l of O3SS, the germ cells go through irreversible changes in their ultrastructure that stop them from making new cysts within five minutes.

In Reply: Endoscopic Transseptal Approach for Removal of Colloid Cysts: 2-Dimensional Operative Video.

In Reply: Endoscopic Transseptal Approach for Removal of Colloid Cysts: 2-Dimensional Operative Video.

Post-laparoscopy Epidermal Inclusion Cyst of Umbilicus

Background: Epidermal inclusion cysts can develop in the umbilicus following trauma or surgery. In this study, we aim to report cases of epidermal inclusion cysts occurring at the umbilicus in patients with a history of previous laparoscopic surgery.Methods: A retrospective study was conducted between January 2020 and May 2023 based on the medical records of patients who developed epidermal inclusion cysts in the umbilicus following laparoscopic surgery. Information regarding age, sex, symptoms, type of previous surgery, time elapsed from previous surgery to mass discovery, and postoperative complications was collected from a total of 15 patients.Results: Out of the 15 patients, 13 were female (86.7%) and two were male (13.3%). Symptoms such as discharge, redness, and tenderness were present in 12 patients (80.0%). Obstetric and gynecologic laparoscopic surgeries were performed on 10 patients (66.7%), whereas general surgical laparoscopic surgeries were performed on five patients (33.3%). The mean time from laparoscopic surgery to discovery of the umbilical mass was 43.5 months. Wound dehiscence occurred in one patient (6.7%) and seroma developed in another patient (6.7%) out of 15 patients.Conclusion: Achieving an ideal shape of the umbilicus after removal of epidermal inclusion cysts that occur at the umbilicus following laparoscopic procedures requires significant effort. Through this study, we aim to remind laparoscopic surgeons that epidermal inclusion cysts can develop at the umbilicus through laparoscopic interventions and thereby emphasize the importance of proper wound management.