Clinicopathological presentation of congenital neck mass in children of eastern Nepal
Keywords:
Neck mass, congenital
Abstract
Background: Paediatric neck mass are common problem which often require surgical intervention. More than 90% of them are benign in nature and most of them are congenital in origin accounting up to 55%. They are asymptomatic in nature and may be associated with pain, infection and pressure symptoms. Methods: : It was a prospective study conducted in the tertiary care centre over a period of one year from 15th June 2012 to 15th June 2013. All cases were evaluated clinico-radiologically followed by cytology and then underwent surgery. Histopathology report was taken as a confirmatory diagnosis.Result: Forty-five cases of congenital neck swelling were evaluated. Age of the patient range from 36 months to 15 years 4 months with male: female ratio of 1:1. About 58% of patient presented with lateral neck swelling and remaining were with midline neck swelling. Most common diagnosis was Thyroglossal duct cyst accounting for 48.8%.Conclusion: The most common congenital neck mass observed in eastern Nepal was thyroglossal duct cyst with most neck mass presenting as painless swelling.DOI:10.21276/AAMS.1788References
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2. Tracy TF, Muratore. Management of common head and neck masses. Semin Pediatr Surg. 2007;16:3-13.
3. Maran A et al.Textbook of head and neck surgery and oncology. 5th ed.2012;214-226
4. Maran A et al.Textbook of head and neck surgery and oncology. 4th ed.2000;181-185
5. Malik A, Audit J, Rodriguez J, Hardjasudarma M. Pediatric neck masses: A pictural review for practicing radiologists. Curr Probe Diagn Radiol 2002;31:146-57.Enepekides DJ. Management of congenital anomalies of the neck. Facial Plast
6. Surg Clin North Am 2001;9(1):131–45
7. Gray SW: Skandalakis JE: The pharynx and its derivates, in Gray SW, Skandalakis JE (eds): Embryology for Surgeons (Philadelphia WB Saunders, 1972p. 15
8. Nicollas R, Guelfucci B, Roman S, et al: Congenital cysts and
fistulas of the neck. Int J Pediatr Otorhinolaryngol 55:117 , 2000
9. Rattan KN, Rattan S, Parihar D, Gulia JS, Yadav SP. Second branchial cleft fistula: is fistulogram necessary for complete excision. Int J Pediatr Otorhinolaryngol. 2006 Jun; 70(6); 1027-1030
10. Mahmut Ö, Mehtap K.Histopathological Examination of Patients Operated on for a Neck Mass: 4-Year Follow-Up Result.Turkish journal of pathology. 2011; 27, 134-137.
11. Taiseer H. A. et al . Congenital Neck Masses: A Descriptive Retrospective Study of 252 Cases. Journal of oral and maxillofacial surgery.2007; 65:2242-2247.
12. Ayugi JW, Ogeng’o JA, Macharia IM.Pattern of congenital neck masses in a Kenyan paediatric population. International Journal of Pediatric Otorhinolaryngology. 2010;74:64–66.
13. Siddique MA, Hossen M, Taous A, Clinical presentation of congenital neck mass in children. Bangladesh J Otorhinolaryngol. 2012. 18:16:22
14. Maddalozzo J, Venkatesan TK, Gupta P. Complications associated
with the Sistrunk procedure. Laryngoscope 2001;111(1):119e23
Published
2018-03-04
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