Pilar Cyst From a Maxillofacial Surgeon's Perspective: A Case Report and Review of Literature

    May 2023 in “ Curēus
    Srinidhi Kasthurirengan, Senthil Murugan Pandurangan, Mahathi Neralla, Murugesan Krishnan, Bala J Gupta
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    TLDR A man had a benign pilar cyst on his face, which is rare and was successfully removed by surgery.
    A 75-year-old male patient presented with a swelling on the left side of his face, which had been growing for a year, to the Department of Oral and Maxillofacial Surgery. Upon examination, the swelling was identified as an infected cystic lesion through cytology, and a well-defined lesion in the left temporal region was observed on CT. Following surgical removal, histopathological examination confirmed the lesion to be a pilar cyst, a benign growth originating from hair follicle epithelium that occurs in about 10% of the population, typically on the scalp. This case was notable for the cyst's location in the left temporal region and the patient's history of osteomyelitis surgery, highlighting that pilar cysts can be mistaken for temporal space infections, potentially leading to improper treatment.
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