Neonatal Presentation of an Air-Filled Neck Mass that Enlarges with Valsalva: A Case Report.

Autor: Patel JB; Division of Neonatology, Children's Mercy Hospital, University of Missouri-Kansas City School of Medicine, Kansas City, Missouri., Kilbride H; Division of Neonatology, Children's Mercy Hospital, University of Missouri-Kansas City School of Medicine, Kansas City, Missouri., Paulson L; Division of Pediatric Otolaryngology-Head and Neck Surgery, Children's Mercy Hospital, University of Missouri-Kansas City School of Medicine, Kansas City, Missouri.
Jazyk: angličtina
Zdroj: AJP reports [AJP Rep] 2015 Oct; Vol. 5 (2), pp. e207-11. Date of Electronic Publication: 2015 Sep 07.
DOI: 10.1055/s-0035-1563388
Abstrakt: Branchial cleft cysts are common causes of congenital neck masses in the pediatric population. However, neonatal presentation of branchial cleft cysts is uncommon, but recognizable secondary to acute respiratory distress from airway compression or complications secondary to infection. We report a 1-day-old infant presenting with an air-filled neck mass that enlarged with Valsalva and was not associated with respiratory distress. The infant was found to have a third branchial cleft cyst with an internal opening into the pyriform sinus. The cyst was conservatively managed with endoscopic surgical decompression and cauterization of the tract and opening. We review the embryology of branchial cleft cysts and current management.
Databáze: MEDLINE