Lingual Cyct - Lingual Cyct - Open Access Pub

Epidermoid cysts encountered throughout the body, only 7% occurs in the head and neck area, with the oral cavity accounting for only 1.6%. Intraoral this benign slow growing and painless entity is usually located in the submandibular, sublingual and sub mental region. They can cause symptoms of dysphagia and dyspnea and have a malignant transformation potential. Surgical excision is the treatment of choice. Described here is a case of gigantic sublingual cyst. DOI10.14302/issn.2641-5518.jcci-18-2504 Epidermoid cysts are benign pathologies that can occur anywhere in the body, predominantly seen in areas where embryonic elements fuse together1. Most cases have been reported in the ovaries and the testicles (80%), with head and neck accounting for 7% 1, 2. Dermoid and epidermoid cysts in the mouth are uncommon and comprise less than 0.01% of all the oral cysts 2, 3, 4. Majority of them occur in sublingual region, but there are rare case reports of occurrence in other sites The tongue is a complex of muscle groups with a fibrous scaffold consisting of the hyoglossal membrane and midline lingual septum. The root of the tongue is an important sub region of the oral cavity, associated with very specific differential diagnoses. It is relatively resistant to primary neoplastic and infectious processes due to its high percentage of skeletal muscle and lack of significant lymphatic tissue . The majority of lesions found in the root of the tongue are congenital and benign, representing ectopic tissues of thyroidal, epidermal, dermal, foregut, venous, and lymphatic origin. The most common midline mass at the base of the tongue is a lingual thyroid which should be confirmed or excluded by radionuclide scanning. Case Presentation 9 month old boy admitted through ER complain of cough, shortness of breath, fever for 3 days, and Vomiting for 7 months This boy was product of full term, c/s because of breech presentation, admitted to NICU for 3 days because of jaundice. This boy condition started since he was 37 days old and admitted as case of bronchiolitis for 7 days and discharge in a good condition. The second admission at age of 2 months as case of bronchopneumonia for 4 days. The third admission at age of 4 months again as bronchopneumonia stayed in a hospital for 2 weeks. Child was fully vaccinated with normal developmental skills except mild gross motor delay. Was on bottle feeding with good preparation and feeding technique. Parents are not relative. Mother is teacher. Father is jobless. They have 4 other siblings, the eldest one got bronchial asthma, and the