Congenital cysts and fistulas of the neck

Nicollas, R.; Guelfucci, Bruno; Roman, S.; Triglia, J.-M.

doi:10.1016/s0165-5876(00)00384-0

Cited by 118 publications

(63 citation statements)

References 17 publications

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“…In contrast, lymphoid aggregates are a rare finding in TGDC, as shown in the present series. Branchial cleft cysts are encountered in the lateral neck along the anterior border of the sternocleidomastoid muscle in contrast to the typical midline clinical presentation of TGDC [6,7].…”

Section: Discussionmentioning

confidence: 99%

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A Clinicopathologic Series of 685 Thyroglossal Duct Remnant Cysts

Thompson¹,

Herrera²,

Lau³

2016

Head and Neck Pathol

104

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The clinical features of thyroglossal duct remnant cysts (TGDC) have been well described, however the histopathologic aspects of these lesions have not been addressed in a detailed manner. In particular, there has been no large community practice based series evaluating TGDC histologically compared with management outcomes. A retrospective review of all TGDC diagnosed between 2005 and 2015 was performed. Six hundred eighty-five patients were identified (344 males; 341 females). Age at presentation was bimodal (first and fifth decades) and ranged from 0.8 to 87 years (mean 31.3 years). Males predominate in children (150:111); females in adults (230:194). Patients presented most frequently with a mobile midline neck mass in an infrahyoid location. An associated skin fistula (n = 67) was twice as common in pediatric as adult patients. The average cyst size was 2.4 cm (range 0.4-9.9 cm) by imaging studies and 2.6 cm (range 0.2-8.5 cm) by pathologic examination; pediatric patients had smaller cysts (mean 2.1 cm) than adults (mean 2.8 cm). Histologically, 257 (38 %) TGDC were lined by respiratory epithelium alone, 68 (10 %) squamous epithelium alone, 347 (51 %) exhibited both respiratory and squamous epithelium, and 13 (1 %) had no identifiable epithelial lining. Four hundred eighty-four (71 %) TGDC had associated thyroid gland tissue present within the cyst wall (n = 282), skeletal muscle (n = 71), adipose tissue (n = 34), or a combination of these sites (n = 97). The hyoid bone was identified in 647 (grossly and/or histologically), and absent in 38. Surgical management consisted of Sistrunk procedure (n = 647), cystectomy (n = 31), or thyroidectomy/thyroid lobectomy (n = 7). Treatment related complications were observed in 6 patients, which included vocal cord damage, seroma, and hematoma. Recurrences developed in 20 (3 %) patients, 14 of whom were managed initially by cystectomy. Papillary thyroid carcinoma was identified in 22 (3.2 %) TGDC. In summary, TGDC show a bimodal peak in the 1st and 5th decades, commonly presenting as a midline cervical lesion below the hyoid bone, associated with a skin fistula in 10 %. Histologically TGDC are most commonly lined by a combination of respiratory and squamous epithelium. Thyroid gland tissue is identified in 71 % of cases (0.45 cm mean size), although not limited to the cyst wall, but present in the surrounding soft tissues. Rare TGDC may harbor malignancy (3.2 %). TGDC are most effectively managed by Sistrunk procedure rather than excision, which carries low rates of complications (1 %) and recurrence (3 %).

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Section: Discussionmentioning

confidence: 99%

“…Thyroglossal duct remnant cysts (TGDC) are among the most common cervical lesions encountered in infancy and childhood [6,7], although they not infrequently present in adults [8][9][10][11][12][13]. The cysts may arise anywhere along the migratory pathway of the thyroglossal duct of the developing thyroid gland.…”

Section: Introductionmentioning

confidence: 99%

A Clinicopathologic Series of 685 Thyroglossal Duct Remnant Cysts

Thompson¹,

Herrera²,

Lau³

2016

Head and Neck Pathol

104

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“…Out of the 1,495 cases of dermoid cysts seen by New and Erich at the Mayo Clinic, only 24 were seen intra-orally, in the floor of the mouth [10]. Again in one study, out of the 191 children treated for congenital cysts and fistula in the neck (excluding cystic hygroma and peri-auricular fistulas), only 21 were diagnosed as dermoid cysts [11]. Also, in a 20-year study, it has been shown that dermoid and epidermoid cysts consist of only 3.7% of all congenital non-salivary cysts of the suprahyoid neck in children [12].…”

Section: Discussionmentioning

confidence: 99%

Epidermoid Cysts in Head and Neck: Our Experiences, with Review of Literature

Dutta

Saha

Biswas

et al. 2011

Indian J Otolaryngol Head Neck Surg

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Epidermoid cysts are benign lesions, characterized by cystic spaces lined by simple squamous epithelium (epidermoid cyst), containing skin adnexa (''true'' dermoid cyst) or tissues of all three germ layers (teratoid cyst). Head and neck constitute *7% of all cases of epidermoid and dermoid cysts. There is often a diagnostic dilemma with the more common cystic lesions of this region. A retrospective case-series study of histologically proved epidermoid cysts in the head-neck region, from February 2008 to January 2011, in the Department of Otorhinolaryngology and Head-Neck Surgery of a tertiary Government teaching hospital in eastern India. The diagnosis was reached by fine needle aspiration cytology FNAC and subsequent histopathology where feasible. Necessary imaging was done for evaluation and management. A total of 28 cases were analyzed. 5 were female, with a male: female ratio of 4.6. Age range was from 2 to 60 years (mean = 30). Excision was the preferred treatment in 20 cases (71.4%). Various sites like the submandibular region (5), pinna (5), sublingual region (1), periorbital (6), suprasternal (6), along the anterior border of sternocleidomastoid (1) and glabella (3) were involved, along with an iatrogenic implantation epidermoid cyst in a tracheostomy scar. Some of the interesting cases presenting with clinical dilemma have been emphasized. Epidermoid cysts are relatively less common in the head-neck region, hence are liable to be misdiagnosed. In this case-series, few cases presenting with enough elements of confusion and dilemma are discussed with overall analysis and review of the related literature.

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“…Dentro de los estudios diagnósticos se encuentra el TAC de cuello con contraste, la resonancia magnética la cual es particularmente útil para detectar anomalías quísticas, la laringoscopía directa y el esofagograma con bario, el cual puede fallar durante la fase inflamatoria aguda 8 .…”

Section: Discussionunclassified

“…Las anomalías del cuarto arco branquial presentan distintas manifestaciones clínicas, las más frecuentes son mediante un cuadro de absceso cervical recurrente o tiroiditis aguda supurativa [4][5][6] . La prevalencia reportada para anomalías del cuarto arco branquial es baja, con menos de 100 casos publicados según la mayoría de los reportes 7 , lo que representa 1% a 4% de todas las anomalías branquiales 8 . Por lo tanto, las recomendaciones en cuanto a su diagnóstico y manejo aún no cuentan con un alto nivel de evidencia.…”

Section: Introductionunclassified

Manejo endoscópico de anomalías del cuarto arco branquial: Reporte de tres casos

et al. 2017

Rev. Otorrinolaringol. Cir. Cabeza Cuello

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Congenital cysts and fistulas of the neck

Cited by 118 publications

References 17 publications

A Clinicopathologic Series of 685 Thyroglossal Duct Remnant Cysts

A Clinicopathologic Series of 685 Thyroglossal Duct Remnant Cysts

Epidermoid Cysts in Head and Neck: Our Experiences, with Review of Literature

Manejo endoscópico de anomalías del cuarto arco branquial: Reporte de tres casos

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