Brief ReportsOrbital Dermoid Cyst and Sinus Tract Presenting With Acute InfectionWells, Timothy S. M.D.; Harris, Gerald J. M.D., F.A.C.S.Author Information Section of Orbital and Ophthalmic Plastic Surgery, Department of Ophthalmology, Medical College of Wisconsin, Milwaukee, U.S.A. Accepted June 17, 2004. Address correspondence and reprint requests to Dr. Gerald J. Harris, Eye Institute, Medical College of Wisconsin, 925 North 87th Street, Milwaukee, WI, U.S.A. Supported in part by core grant EY01931 from the National Eye Institute, Bethesda, Maryland, and by an unrestricted grant from Research to Prevent Blindness, Inc., New York, New York, U.S.A. Ophthalmic Plastic & Reconstructive Surgery: November 2004 - Volume 20 - Issue 6 - p 465-467 doi: 10.1097/01.IOP.0000144789.04263.19 Buy Metrics AbstractIn Brief A 9-month-old infant presented with orbital cellulitis and recent discharge from a hair-bearing pit above the eyebrow. Orbital imaging demonstrated a tubular lesion and sinus tract extending from a hypoplastic sphenoid wing, through the lateral orbit, to the skin surface. Complete excision of the dermoid cyst and sinus tract was performed through an eyelid crease approach. A dermoid sinus—extending from the skin surface, through the orbit, to a deficient sphenoid wing—was delineated with CT and MRI scans and completely excised. ©2004The American Society of Opthalmic Plastic and Reconstructive Surgery, Inc.