{"id":3458,"date":"2022-12-13T12:25:46","date_gmt":"2022-12-13T12:25:46","guid":{"rendered":"https:\/\/profmunteanu.ro\/?page_id=3458"},"modified":"2026-06-03T14:09:19","modified_gmt":"2026-06-03T13:09:19","slug":"chist-palpebral","status":"publish","type":"page","link":"https:\/\/profmunteanu.ro\/en\/chist-palpebral\/","title":{"rendered":"Palpebral cyst"},"content":{"rendered":"
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Eyelid cyst - Types and recommendations<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Chistul palpebral, inclusiv varia\u021biile sale dermoid, folicular, etc., reprezint\u0103 afec\u021biuni comune ale pleoapelor, cauzate \u00een principal de anomalii congenitale sau blocaje ale glandelor sebacee. Aceste chisturi se formeaz\u0103 sub pielea pleoapelor, cauz\u00e2nd disconfort vizual \u0219i simptome nepl\u0103cute.<\/p>

Tratamentul pentru chistul palpebral poate varia \u00een func\u021bie de m\u0103rimea \u0219i simptomele asociate, dar op\u021biunea preferat\u0103 \u00een multe cazuri este interven\u021bia chirurgical\u0103. Opera\u021bia chistului palpebral ofer\u0103 un rezultat rapid \u0219i eficient, elimin\u00e2nd chistul \u0219i restabilind aspectul \u0219i confortul pleoapelor.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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1. Dermoid cyst<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Dermoid and epidermoid cysts are among the most common benign orbital tumours of childhood.<\/p>

These cysts are congenital and progressively enlarge. Shallower cysts usually become symptomatic in childhood, but deeper ones may not become clinically evident until adulthood. Dermoid cysts are lined by keratinising epithelium and contain dermal appendages such as hair follicles and sebaceous glands. They contain a mixture of fat and keratin. In contrast, epidermoid cysts are lined only by epidermis and are usually filled with keratin; they do not contain dermal appendages. Orbital dermoid cysts occur most commonly in the lateral brow area adjacent to the frontozygomatic suture; less commonly they may be found in the upper medial eyelid adjacent to the frontoethmoidal suture. Dermoid cysts usually present as smooth, painless, oval, palpable, slowly enlarging masses. They may be loose, mobile or may be attached by periosteum to the suture beneath. If the dermoid occurs in the temporal fossa, computed tomography (CT) is often indicated to rule out expansion into the underlying orbit. Otherwise it can cause pulsating proptosis with mastication, a very specific feature of this condition.<\/p>

CT-ul este, de asemenea, util pentru a evalua leziunile mediale \u0219i pentru a distinge dermoizii de encefalocelul congenital, dacriocelul \u0219i leziunile vasculare care pot ap\u0103rea \u0219i \u00een aceast\u0103 loca\u021bie. C\u00e2nd este v\u0103zut pe o tomografie computerizat\u0103, un chist dermoid orbital este de obicei bine definit \u0219i are un perete intensificat \u0219i un lumen care nu se intensific\u0103. O margine calcifiat\u0103 sau par\u021bial calcifiat\u0103 este vizibil\u0103 \u00een majoritatea cazurilor. Pe imagistica prin rezonan\u021b\u0103 magnetic\u0103 apare ca o structur\u0103 rotund\u0103 p\u00e2n\u0103 la ovoid\u0103 bine definit\u0103 de dimensiuni variabile. Chisturile dermoide care nu sunt vizibile p\u00e2n\u0103 la v\u00e2rsta adult\u0103 nu sunt adesea palpabile deoarece sunt situate posterior \u00een orbit\u0103, de obicei \u00een por\u021biunile superioare \u0219i temporale adiacente suturilor osoase. Globul \u0219i anexele pot fi deplasate, provoc\u00e2nd proptoz\u0103 progresiv\u0103 \u0219i poate ap\u0103rea eroziunea sau remodelarea osului. Chisturile dermoide de lung\u0103 durat\u0103 pot eroda oasele orbitale. \u00cen unele cazuri, prezentarea clinic\u0103 a chisturilor dermoide orbitale poate fi o inflama\u021bie orbital\u0103, care este provocata de scurgerea gr\u0103simii \u0219i a keratinei din chist. Extinderea chistului dermoid \u0219i r\u0103spunsul inflamator la scurgere pot duce la o fistul\u0103 orbitocutanat\u0103, care poate ap\u0103rea \u0219i dup\u0103 \u00eendep\u0103rtarea chirurgical\u0103<\/a> incomplet\u0103.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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2. Management<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Dermoid cysts are usually removed surgically. Because dermoid cysts that present in childhood are often superficial, they can be excised through an incision placed in the crease of the upper eyelid or directly over the lesion. If possible, the cyst wall should remain intact during surgery. Rupture of the cyst can lead to an acute inflammatory process, as can a portion of the cyst wall or any contents remaining in the eyelid or orbit. If the cyst wall is ruptured, the surgeon must remove the contents of the cyst. Complete surgical removal may be difficult if the cyst has leaked preoperatively and adhesions have developed.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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3. Other benign cystic lesions<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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After papillomas, epidermal cysts are the second most common type of benign periocular skin lesions, accounting for approximately 18% of excised benign lesions. Most of these are epidermal inclusion cysts, which arise from the infundibulum of the hair follicle, either spontaneously or following traumatic implantation of epidermal tissue into the dermis. The lesions are slow-growing, raised, round and smooth. They often have a central pore, indicating the remaining pillar canal. Although these cysts are often called sebaceous cysts, they are actually filled with keratin. Rupture of the cyst wall can cause an inflammatory foreign body reaction. Cysts can also become infected secondarily. The recommended treatment for small cysts is excision or marsupialization, which involves excision around the periphery of the cyst but leaving the base of the cyst wall to serve as the new surface epithelium. Larger or deeper cysts may require complete excision, in which case the cyst wall must be removed intact to reduce the possibility of recurrence.<\/p>

Multiple tiny epidermal inclusion cysts are called milia. They are particularly common in newborns. Generally, milia resolve spontaneously, but can be marsupialized with a blade or sharp needle. Multiple confluent milia can be treated with topical retinoic acid cream. A less common epidermal cyst is the pilar or trichilemal cyst. Such cysts are not clinically distinguishable from epidermal inclusion cysts, but tend to occur in areas containing large and numerous hair follicles. Approximately 90% of hair cysts occur on the scalp; in the periocular region they are generally found in the eyebrows. The cysts are filled with desquamated epithelium, and calcification occurs in about 25% of cases.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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4. Syringomul<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Benign tumours of the eccrine sweat glands commonly found in young females, syringomas present as multiple small, waxy, prominent nodules 1-2 mm in diameter on the lower eyelids. Syringomas may also be found in the axillary and sternal region. They become more obvious during puberty. Because the eccrine glands are located in the dermis, these lesions are too deep to allow shaving excision. Removal requires complete surgical excision. A less common variant, chondroid syringoma, occurs most commonly in middle-aged men and can grow up to 3 cm. It is composed of components of the sweat gland in a mixed cartilaginous stroma.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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5. Hydrocystoma<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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It is a benign cyst of the sweat glands. It can be eccrine or apocrine, single or multiple.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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6. The echrin hydrocystoma<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Eccrine hydrocystomas are common cystic lesions 1-3 mm in diameter that occur in clusters and tend to clump around the lower eyelids, corners and face. They are considered to be ductal retention cysts and often enlarge in conditions such as heat and increased humidity, which stimulate sweating. Treatment consists of surgical excision.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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7. The apocryphal hydrocystoma<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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A very common, smooth cyst arising from the Moll's glands along the edge of the eyelid, apocrine hydrocystoma is considered to be an adenoma of Moll's secretory cells rather than a retention cyst. These lesions are usually translucent or bluish and transilluminating. They may be multiple and often extend deep beneath the surface, especially in the canthal regions. Treatment of superficial cysts is marsupialization. Deep cysts require complete excision of the cyst wall.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Go for a check-up immediately if you notice an abnormally increased mass to have a correct differential diagnosis and rule out serious cancerous lesions.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Descoperi\u021bi mai multe informa\u021bii valoroase despre oftalmologie \u0219i s\u0103n\u0103tatea ochilor vizion\u00e2nd materialele realizate de exper\u021bi \u00een domeniu de pe canalul nostru de YouTube<\/span><\/a>.<\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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\"Oftalmologie<\/a><\/figure>

Dr. Yasar Servet<\/a><\/h3>

Primary ophthalmologist with specializations in countries such as Turkey,\nCyprus, the Czech Republic and the United States and over 11 years of experience in ophthalmology.<\/p><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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\n\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\tConsult Programming<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"

Chist palpebral – Tipuri si recomandari Chistul palpebral, inclusiv varia\u021biile sale dermoid, folicular, etc., reprezint\u0103 afec\u021biuni comune ale pleoapelor, cauzate \u00een principal de anomalii congenitale sau blocaje ale glandelor sebacee. Aceste chisturi se formeaz\u0103 sub pielea pleoapelor, cauz\u00e2nd disconfort vizual \u0219i simptome nepl\u0103cute. Tratamentul pentru chistul palpebral poate varia \u00een func\u021bie de m\u0103rimea \u0219i simptomele […]<\/p>\n","protected":false},"author":4,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"om_disable_all_campaigns":false,"footnotes":""},"class_list":["post-3458","page","type-page","status-publish","hentry"],"yoast_head":"\nChist palpebral - Clinica Oftalmologica Dr. Munteanu<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/profmunteanu.ro\/en\/chist-palpebral\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Chist palpebral - Clinica Oftalmologica Dr. Munteanu\" \/>\n<meta property=\"og:description\" content=\"Chist palpebral – Tipuri si recomandari Chistul palpebral, inclusiv varia\u021biile sale dermoid, folicular, etc., reprezint\u0103 afec\u021biuni comune ale pleoapelor, cauzate \u00een principal de anomalii congenitale sau blocaje ale glandelor sebacee. Aceste chisturi se formeaz\u0103 sub pielea pleoapelor, cauz\u00e2nd disconfort vizual \u0219i simptome nepl\u0103cute. 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