Journal List > J Korean Ophthalmol Soc > v.55(12) > 1009849

Park, Kim, and Suh: Removal of Eyelid Epidermal Cyst Using High-Frequency Radio-Wave Electrosurgery

Abstract

Purpose

To introduce an effective new surgical approach with high-frequency radio-wave electrosurgery to remove eyelid epidermal cysts.

Methods

Thirteen patients (13 eyes) with eyelid epidermal cysts were enrolled in the present study. All patients underwent high-frequency radio-wave electrosurgery (Ellman surgitron®) to remove the epidermal cyst. The results were analyzed retrospectively, after a follow-up of more than 6 months.

Results

At 6 months postoperatively, all eyes showed no recurrence of epidermal cyst. Additionally, no complications were reported by any patient.

Conclusions

High-frequency radio-wave electrosurgery is an effective procedure to remove eyelid epidermal cyst without recurrence.

References

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Figure 1.
Schematic diagram of removing eyelid epidermal cysts with high-frequency radio-wave electrosurgery. With the tip of a No. 11 surgical blade, small linear incision is made on the top of epidermal cyst, penetrating the wall of the cyst (A). Uniform, centripetal pressure around the cyst using cotton-tipped applicator is applied at the base of the cyst to express the contents of the cyst, including part of the cyst wall (B). When the size of the cyst is larger than 2 mm, ball-type probe is inserted in the cyst, and the cyst is coagulated with high-frequency radio-wave electrosurgery for removal of potential residual epidermal sac (C-1). When the size is smaller than 2 mm, curved pin-type probe is inserted in the cyst and the capsule is coagulated for removal of potential residual sac (C-2).
jkos-55-1727f1.tif
Figure 2.
Intraoperative photographs using ball-type electrode for epidermal cysts, larger than 2 mm. With the tip of a No. 11 surgical blade, small linear incision is made on the top of epidermal cyst (A). Centripetal pressure is applied at the base of the cyst, and the contents of the cyst is being exposed (B). The contents of the cyst are expressed (C). Ball-type electrode of adequate size is selected, and the cyst is coagulated with high-frequency radio-wave electrosurgery (D).
jkos-55-1727f2.tif
Figure 3.
Intraoperative photographs using curved pin-type electrode for epidermal cysts, smaller than 2 mm. After the contents of the cyst are expressed, a pin-type electrode of adequate size is selected and the tip of electrode is curved (A). The tip of electrode is inserted and rotated in the cyst to coagulate the cyst wall (B, C, D).
jkos-55-1727f3.tif
Figure 4.
Slit-lamp photographs of the patients. Preoperative eyelid epidermal cyst (large epidermal cyst-A, small epidermal cyst-D), 1 week after removing epidermal cyst with high-frequency radio-wave electrosurgery (large epidermal cyst-B, small epidermal cyst-E), 1 month after removal of epidermal cyst with high-frequency radio-wave electrosurgery (large epidermal cyst-C, small epidermal cyst-F). Epidermal postinflammatory hyperpigmentation was observed at the electrosurgery site, 1 week after removing epidermal cyst (E). But it spontaneously faded at 1 month (F).
jkos-55-1727f4.tif
Table 1.
Patients’ characteristics
Patient Age at surgery (years) Sex Site Size of epidermal cyst (Cyst ≥ 2 mm: Large, Cyst < 2 mm: Small) Follow-up time (months)
1 69 Male Right Large 18
2 75 Female Right Large 13
3 68 Female Left Large 7
4 72 Female Right Large 12
5 60 Male Left Large 6
6 87 Male Left Large 12
7 58 Male Left Small 8
8 65 Female Right Small 14
9 59 Male Right Small 6
10 64 Female Right Small 8
11 46 Female Left Small 6
12 63 Male Left Small 12
13 54 Male Right Small 6
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