Endoscopic Dermoid Surgery

Cosmetic Concern: 26 year-old woman with a life long history of a slowly expanding right orbital rim mass. She had seen physicians in the past and was advised that it was fat and that surgery was unnecessary. Dr. Steinsapir ordered a CT scan to assess the lesion. The arrows on the two CT images point to the lesion.

Diagnosis:

1. Right orbital rim dermoid

Treatment:

Trans-temporal endoscopic dermoid removal. The standard approach for removing this type of dermoid is through an upper eyelid incision. However, scaring created by surgery can cause the upper eyelid fold to be affected. This was an important concern for a 26 year old. Dr. Steinsapir under took a much more technically difficult removal of the lesion through an endoscopic approach. The video documents this procedure.