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Surgical excision of a sebaceous cyst is a simple procedure to completely remove the sac and its contents, [8] although it should be performed when inflammation is minimal. [9] A sebaceous cyst that has been surgically removed. Three general approaches are used - traditional wide excision, minimal excision, and punch biopsy excision. [10]
The cysts can be removed via excision, though conventional cyst excision techniques have proven impractical, and a specialized regimen is required. [5] Cryotherapy and electrodessication may also be tried, but since it is a genetic disorder all the modalities have very little effect. Individual cysts can be removed surgically.
Sebaceous cyst is a term used to refer to both an epidermoid cyst and a pilar cyst, though neither of these contain sebum, only keratin and do not originate in the sebaceous gland and so are not true sebaceous cysts. A true sebaceous cyst is relatively rare and is known as a steatocystoma. [38]
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Epidermoid cyst may be classified as a sebaceous cyst, [15] although technically speaking it is not sebaceous. [16] " True" sebaceous cysts, cysts which originate from sebaceous glands and which contain sebum, are relatively rare and are known as steatocystoma simplex or, if multiple, as steatocystoma multiplex .
The cyst can also become infected and form an abscess, or a painful, puss-filled pocket. Once branchial cysts begin growing, doctors will advise immediate removal to prevent further infection.
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In case of a persistent infection, infection drainage is performed during the excision operation. The operation is generally performed by an appropriately trained specialist surgeon e.g. an otolaryngologist or a specialist General Surgeon. The fistula can be excised as a cosmetic operation even though no infection appeared.