Management and Outcome:
The specimen’s histopathology revealed a cyst with a stratified squamous
epithelium lining that contained keratin (Figure 3). Histopathology has
not revealed any malignant changes. The patient was intubated under
general anaesthesia an oblique elliptical incision was made around the
swelling. Incision deepened up to the cyst wall and a total skin flap
was excised from the cyst and underlined muscle and haemostasis was
achieved. Romovac drain was inserted and the skin was closed with
Ethilon 2-0 mattress sutures(Figure 4). After the cystic mass has been
removed, excess skin is removed to promote primary closure and aesthetic
improvement. A day after surgery, the patient was released, and on the
third day of follow-up, there were no complaints. On the tenth
postoperative day, the stitches were removed after the wound healed
without any complications. At the follow-up examination at regular
intervals of 15 days, the authors found no local recurrence of the
lesion.