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Angelique Danielson-Cohen, MD; Samuel J. Lin, MD; C. Anthony Hughes, MD; Young H. An, MD; John Maddalozzo, MD

Arch Otolaryngol Head Neck Surg. 2001;127:1481-1483.

Objective  To provide a review of the current information on the etiology, clinical presentation, management, and outcome of pilomatrixoma of the head and neck in children.

Design  Retrospective review.

Setting  A tertiary care pediatric center.

Patients  Fifty-one pediatric patients with a diagnosis of pilomatrixoma of the head and neck.

Intervention  All patients underwent excision of pilomatrixoma from January 1997 to March 1999. A total of 55 tumors were studied.

Results  A preponderance of girls (n = 36; 71%) presented with this condition. The average age at diagnosis was 5.7 years, and the average size of the lesion was 1 cm. The skin of the cheek and the periorbital area were the most commonly involved sites. Only 27 lesions (49%) had a correct preoperative diagnosis. Two (4%) of 55 tumors recurred after complete surgical excision.

Main Outcome Measures  The age and sex of the patient, preoperative diagnosis, time elapsed before diagnosis, site and size of the tumor, length of follow-up, presence of multiple or previous pilomatrixomas, and recurrence.

Conclusions  Preoperative diagnosis may be improved with increased awareness of pilomatrixoma, a common, benign skin tumor in children. Clinical findings will aid in an accurate diagnosis. Recurrence after complete local excision is rare.

From the Departments of Otolaryngology–Head and Neck Surgery, University of Illinois Hospital at Chicago (Drs Danielson-Cohen and An); and Northwestern Memorial Hospital (Dr Lin), and the Divisions of Otolaryngology (Dr Hughes) and Pediatric Otolaryngology (Dr Maddalozzo), Children's Memorial Hospital, Chicago, Ill.

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