Schmidt Kyra, Leal Andres, McGill Thomas, Jacob Roy
Texas Tech University Health Sciences Center School of Medicine (Schmidt); and the Departments of Surgery (Leal, McGill) and Radiology (Jacob), Texas Tech University Health Sciences Center School of Medicine, Lubbock, Texas.
Proc (Bayl Univ Med Cent). 2016 Apr;29(2):183-4. doi: 10.1080/08998280.2016.11929409.
Up to 20% of all congenital pediatric head and neck masses are branchial cleft cysts. Second branchial cleft cysts account for 95% of branchial anomalies, and fourth branchial cleft cysts are the rarest type. Their typical presentations include non-life-threatening symptoms, such as drainage, skin irritations, minor swelling, and tenderness. We describe a 5-week-old neonate with increasing stridor secondary to a rapidly growing neck mass. Imaging and surgical excision confirmed the mass to be an infected fourth branchial cleft cyst.
所有先天性小儿头颈部肿块中，高达20%为鳃裂囊肿。第二鳃裂囊肿占鳃裂畸形的95%，第四鳃裂囊肿是最罕见的类型。其典型表现包括无生命危险的症状，如引流、皮肤刺激、轻微肿胀和压痛。我们描述了一名5周大的新生儿，因颈部肿块迅速增大导致喘鸣加重。影像学检查和手术切除证实该肿块为感染性第四鳃裂囊肿。
