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June 1989

Upper Eyelid Crease Approach to Dermoid Cysts

Author Affiliations


Arch Ophthalmol. 1989;107(6):792. doi:10.1001/archopht.1989.01070010814011

To the Editor.  —I enjoyed the well-written article by Kronish and Dortzbach1 in the November 1988 issue of the Archives describing an upper eyelid crease approach to periocular dermoid and epidermoid cysts. Interestingly, I published a similar technique and results in an article on 11 patients with lateral dermoid cysts earlier last year.2 It is clear that both Kronish and Dortzbach and I (and I imagine an unknown number of other surgeons) all independently determined the eyelid crease approach to be the most logical route for removing laterally placed epidermoid and dermoid cysts. Their excellent results described in 20 patients, and mine in 11 patients, reinforce that this approach should become the procedure of choice for management of lesions in this region.

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