Congenital Neck Masses and Cysts.pptVIP

CONGENITAL NECK MASSES AND CYSTS Introduction The most common noninflammatory neck masses in children. Usually present at birth. Can appear at any age. Lateral neck masses Branchial cyst (sinus) Laryngocele Midline Thyroglossal duct cyst Thymic cyst Dermoid cyst Plunging ranula Teratoma of the neck Entire neck Hemangioma Lymphangioma Branchial Anomalies Baer in 1827. 17% of pediatric neck mass. Recurrence after previous surgery: 22%. Branchial apparatus: begins to develop during the second week of gestation. the beginning of the fourth week: four pairs of branchial arches, separated by branchial clefts. Arch Nerve Muscle Skeletal structure Artery First Trigeminal (V) Mastication muscles, mylohyoid, Malleus, incus, portion maxillary (mandibular) anterior digastric, tensor of mandible tympani, tensor velum palati Second Facial (VII) Facial expression muscles, Stapes, styloid, lesser Stapedial (hyoid) stapedius, stylohyoid, posterior cornu hyoid, upper digastric body hyoid Third Glossopharyngeal (IX) Stylopharyngeus Greater cornu hyoid, Common and lower body hyoid internal carotid Fourth Superior laryngeal (X) Constrictors of pharynx Laryngeal cartilages Subclavian R’t cricothyroid aorta arch L’t Fifth Recurrent laryngeal (X) Intrinsic laryngeal muscles Laryngeal cartilages Pulmonary artery R’t