[True double dermoid cyst of the tongue]. / Doble quiste dermoide verdadero de lengua.

Dermoid cysts into ENT zone are specially infrequent--just the 7% of the organism--, and extremely rare if are located in the tongue. They are usually detected as midline acute swelling, and produce swallowing, speech and sleep disorders at neonatal period because of their congenital character. We present an eleven-year-old boy admitted at our Hospital bearing a submandibular and oral swelling, and dysphagia with odynophagia, finally diagnosed as an intralingual double dermoid cyst of the anterior two thirds. The history of frenulectomy due to a presumed ankyloglossia, the previous presence of a dorsal tumour in tongue with a difficult phonetic articulation, and the midline location of lesions made us to suspect on dermoid cysts of the tongue. Complete surgical excision were diagnostic and therapeutic, and the child recovered totally their mastication, swallowing and speech abilities. Pathophysiological aspects, treatment and the atypical course of the case are discussed.

Doble quiste dermoide verdadero de lengua / True double dermoid cyst of the tongue

Los quistes dermoides del entorno ORL son especialmente infrecuentes sólo el 7 por ciento de todo el organismo, resultando su localización en lengua particularmente rara. Comúnmente detectados por un proceso inflamatorio agudo de la línea media, su carácter congénito suele producir trastornos en la deglución, articulación de la palabra o en el sueño ya en el período neonatal. Presentamos el caso de un niño de 11 años que ingresó en nuestro Hospital por inflamación submandibular y de cavidad oral y disfagia con odinofagia, finalmente diagnosticado de doble quiste dermoide intralingual de los dos tercios anteriores. El antecedente de sección del frenillo por presunta anquiloglosia, la existencia de una tumoración en el dorso de la lengua previa al cuadro con dificultad en la articulación de algunos fonemas, y la localización medial de las lesiones hicieron sospechar en quistes dermoides congénitos de lengua. La exéresis completa de las lesiones resultó diagnóstica y terapéutica, y el niño recuperó totalmente su capacidad de masticación, deglución y conversación. Se discuten los aspectos fisiopatológicos, terapéuticos y la atípica evolución clínica de este caso (AU)

Dermoid cysts into ENT zone are specially infrequent--just the 7% of the organism--, and extremely rare if are located in the tongue. They are usually detected as midline acute swelling, and produce swallowing, speech and sleep disorders at neonatal period because of their congenital character. We present an eleven-year-old boy admitted at our Hospital bearing a submandibular and oral swelling, and dysphagia with odynophagia, finally diagnosed as an intralingual double dermoid cyst of the anterior two thirds. The history of frenulectomy due to a presumed ankyloglossia, the previous presence of a dorsal tumour in tongue with a difficult phonetic articulation, and the midline location of lesions made us to suspect on dermoid cysts of the tongue. Complete surgical excision were diagnostic and therapeutic, and the child recovered totally their mastication, swallowing and speech abilities. Pathophysiological aspects, treatment and the atypical course of the case are discussed (AU)