Foregut Duplication Cysts in the Head and Neck

Kieran, Stephen; Robson, Caroline D.; Nosé, Vânia; Rahbar, Reza

doi:10.1001/archoto.2010.127

Cited by 53 publications

(36 citation statements)

References 22 publications

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“…Two case series of choristomas in the head and neck have been published in the last 10 years, one in 2001 by Eaton et al from Children's Medical Center of Dallas and the other in 2010 by Kieran et al from Children's Hospital Boston 13, 16. Our series had a similar male predominance (62%) and mean age at time of surgery (12.7 months).…”

Section: Discussionsupporting

confidence: 61%

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Congenital choristomas of the oral cavity in children

et al. 2011

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This study supports surgical excision as an effective intervention for children with oral cavity choristomas. Because the etiology of these cysts is unknown and diagnostic terminology is widely variable, we propose a more descriptive diagnosis based on the histology (i.e., lingual choristoma [or lingual developmental cyst] with respiratory epithelium or lingual choristoma [or lingual developmental cyst] with gastric epithelium).

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Section: Discussionsupporting

confidence: 61%

“…Acid‐producing gastric mucosa also carries the risk of ulceration and bleeding 12. Finally, untreated cysts can lead to fistula formation with chronic mucus secretion 13. Although our institutional experience also includes treatment with marsupialization and YAG laser excision, these patients were unfortunately lost to follow‐up.…”

Section: Discussionmentioning

confidence: 99%

Congenital choristomas of the oral cavity in children

et al. 2011

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“…Physiologic hypertrophied lingual tonsil, macroglossia, neoplasms such as dermoid cyst, teratoma, lymphangioma, or hemangioma are also considered in the differential diagnosis of tongue base masses in neonates 4 . Foregut duplication cyst of the head and neck, although very rarely seen should be also included in the differential diagnosis of cystic head and neck lesions because they most frequently occur in the oral cavity 5 .…”

Section: Discussionmentioning

confidence: 99%

Aspiration Avoiding Tracheostomy in Neonatal Cystic Oral Lesion

Nasir¹,

Ishak²,

Wahid³

et al. 2019

MMJ

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Oral cyst is uncommon in the neonatal period. Depending on the size and site of occurrence, its symptoms may vary. If not diagnosed and managed expeditiously, these oral cysts may cause significant and potentially fatal morbidity and mortality. We report a successfully managed case of oral cyst in neonate that presented with huge tongue at birth and complaints of impending airway obstruction. She was referred for tracheostomy as intubation was impossible. We attempted needle aspiration and the airway successfully relieved without the need for tracheostomy.

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“…MRI is essential before surgery, as it provides the surgeon with precise information on the anatomical relationships with adjacent organs [ 15 ]. Rigid bronchoscopy assesses the degree of cyst-trachea contact and the need for tracheal surgery [ 12 ].…”

Section: Discussionmentioning

confidence: 99%

Neonatal respiratory distress syndrome revealing a cervical bronchogenic cyst: a case report

et al. 2015

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BackgroundBronchogenic cyst is a congenital malformation, rarely located in the cervical region and almost never involved in a neonate with acute respiratory distress in the delivery room.Case presentationA female newborn with respiratory distress syndrome caused by a large left cervical mass. Intubation was difficult due to tracheal deviation. Magnetic resonance imaging confirmed a left cervical cyst displacing the trachea and esophagus laterally. Surgical excision was performed via a cervical approach on the 5th day, and pathological examination revealed a bronchogenic cyst. The patient's course was complicated by left vocal cord paralysis and necrotic lesions in the glottic and subglottic regions; she required a tracheostomy on the 13th day. Inflammatory stenosis in the subglottic region required balloon dilation once, 20 days later. Proximal esophageal stenosis induced transient upper airway obstruction with salivary stasis. Decannulation was performed at 2 months and the patient was discharged 10 days later.ConclusionA bronchogenic cyst can exceptionally obstruct the airways in the neonatal period. Surgical excision is necessary, but postoperative complications may occur if the cyst is in close contact with the trachea and esophagus, including necrotic and stenotic lesions of the upper aerodigestive tract. In those situations, tracheostomy may be necessary for mechanical ventilation weaning and the initiation of oral feeding.

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Foregut Duplication Cysts in the Head and Neck

Cited by 53 publications

References 22 publications

Congenital choristomas of the oral cavity in children

Congenital choristomas of the oral cavity in children

Aspiration Avoiding Tracheostomy in Neonatal Cystic Oral Lesion

Neonatal respiratory distress syndrome revealing a cervical bronchogenic cyst: a case report

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