Removal of Eyelid Epidermal Cyst Using High-Frequency Radio-Wave Electrosurgery

Jong Yeop Park; Ho Chang Kim; Eok Soo Suh

doi:10.3341/jkos.2014.55.12.1727

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

Original Article

J Korean Ophthalmol Soc 2014;55(12):1727-1733.

Published online: 2 September 2014

DOI: https://doi.org/10.3341/jkos.2014.55.12.1727

Removal of Eyelid Epidermal Cyst Using High-Frequency Radio-Wave Electrosurgery

Jong Yeop Park, MD, Ho Chang Kim, MD, PhD, Eok Soo Suh, MD, PhD

Department of Ophthalmology, Dongguk University Gyeongju Hospital, Dongguk University College of Medicine, Gyeongju, Korea

Address reprint requests to Ho Chang Kim, MD, PhD, Department of Ophthalmology, Dongguk University Gyeongju Hospital, #87 Dongdae-ro, Gyeongju 780-350, Korea, Tel: 82-54-770-8256, Fax: 82-54-772-9618, E-mail: ophho@hanmail.net

Received 18 April 2014 Revised 3 June 2014 Accepted 17 November 2014

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Keywords: Epidermal cyst, High-frequency radio-wave electrosurgery

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).

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).

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).

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).

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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