{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T19:40:09Z","timestamp":1756323609356,"version":"3.44.0"},"reference-count":8,"publisher":"BMJ","issue":"5","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,5,11]]},"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:p>A child presented with a chronic mucus discharging fistula from a mass over the right eyelid. There was a diagnostic dilemma about the mucus discharge from the mass which was probably thought to be secreted from the frontal sinus. The lesion caused a noticeable swelling in the eyelid with potential implications for surrounding structures. During surgical exploration, a large dermoid cyst was found occupying the entire orbit and extending into the frontal sinus, which was then thoroughly curetted and packed with fat to prevent recurrence and maintain structural integrity. On further exploration, a very rudimentary globe with a small optic nerve stump was discovered during the surgery, which was enucleated and socket reconstruction was performed with dermis-fat graft. The patient had a smooth postoperative recovery with good cosmetic results and no signs of recurrence or complications.<\/jats:p>","DOI":"10.1136\/bcr-2025-265641","type":"journal-article","created":{"date-parts":[[2025,5,26]],"date-time":"2025-05-26T23:25:43Z","timestamp":1748301943000},"page":"e265641","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Congenital microphthalmos with orbital dermoid cyst extending to frontal sinus"],"prefix":"10.1136","volume":"18","author":[{"given":"Abid Majeed","family":"Rather","sequence":"first","affiliation":[{"name":"Department of Dentistry, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0887-1690","authenticated-orcid":false,"given":"Bijnya Birajita","family":"Panda","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alok Kumar","family":"Sethi","sequence":"additional","affiliation":[{"name":"Department of Dentistry, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1416-6768","authenticated-orcid":false,"given":"Ashok Kumar","family":"Jena","sequence":"additional","affiliation":[{"name":"Department of Dentistry, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,5,26]]},"reference":[{"key":"2025082712082729000_18.5.e265641.1","doi-asserted-by":"crossref","first-page":"1517","DOI":"10.1001\/jamaophthalmol.2013.5305","article-title":"Microphthalmia, anophthalmia, and coloboma and associated ocular and systemic features: understanding the spectrum","volume":"131","author":"Skalicky","year":"2013","journal-title":"JAMA Ophthalmol"},{"key":"2025082712082729000_18.5.e265641.2","first-page":"120","article-title":"Congenital orbital dermoid cysts: clinical and imaging features","volume":"55","author":"Smith","year":"2018","journal-title":"J Pediatr Ophthalmol Strabismus"},{"key":"2025082712082729000_18.5.e265641.3","first-page":"305","article-title":"Deep orbital dermoids with globe involvement: a case series and review","volume":"36","author":"Jones","year":"2020","journal-title":"Ophthalmic Plast Reconstr Surg"},{"key":"2025082712082729000_18.5.e265641.4","first-page":"543","article-title":"Radiological differentiation of orbital dermoids and teratomas: MRI and CT features","volume":"76","author":"Gupta","year":"2021","journal-title":"Clin Radiol"},{"key":"2025082712082729000_18.5.e265641.5","first-page":"12","article-title":"Surgical approaches to deep orbital dermoid cysts: lateral orbitotomy vs. endoscopic methods","volume":"38","author":"Patel","year":"2019","journal-title":"Orbit"},{"key":"2025082712082729000_18.5.e265641.6","first-page":"1456","article-title":"Endoscopic management of large intraconal dermoid cysts with minimal orbital disruption","volume":"31","author":"Lee","year":"2020","journal-title":"J Craniofac Surg"},{"key":"2025082712082729000_18.5.e265641.7","first-page":"178","article-title":"Long-term follow-up of orbital dermoid cysts: outcomes and recurrence rates","volume":"232","author":"Chen","year":"2021","journal-title":"Am J Ophthalmol"},{"key":"2025082712082729000_18.5.e265641.8","doi-asserted-by":"crossref","first-page":"452","DOI":"10.1097\/01.IOP.0000143716.12643.98","article-title":"Congenital microphthalmos with orbital cysts: distinct diagnostic features and management","volume":"20","author":"Chaudhry","year":"2004","journal-title":"Ophthalmic Plast Reconstr Surg"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2025-265641","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T19:08:35Z","timestamp":1756321715000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2025-265641"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5]]},"references-count":8,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2025,5,26]]},"published-print":{"date-parts":[[2025,5]]}},"alternative-id":["10.1136\/bcr-2025-265641"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2025-265641","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2025,5]]}}}