Mahdoufi Rachid, Barhmi Ismail, Tazi Nabil, Rouadi Sami, Abada Reda, Roubal Mohamed, Mahtar Mohamed
ENT Department Face and Neck surgery, Hospital August 20, 1953, University Hospital Ibn Rochd, Casablanca, Morocco.
Indian J Otolaryngol Head Neck Surg. 2017 Jun;69(2):263-265. doi: 10.1007/s12070-016-0995-z. Epub 2016 May 21.
Thyroglossal duct cysts followed by branchial cleft anomalies are the most common congenital neck masses encountered in practice, second branchial cleft cysts and sinuses are the most common type (LaRiviere and Waldhausen in Surg Clin North Am 92(3):583-597, 2012). Although both abnormalities are common individually, but rarely seen associated in same patient as described in our case. Congenitalcervical anomalies are important to consider in the differential of head and neck masses in children and adults. These lesions can present as palpable cystic masses, infected masses, draining sinuses, or fistulae. Thyroglossal duct cysts are most common, followed by branchial cleft anomalies. A synchronous presentation of both type of cyst and fistula in a same child patient is very rare with no such cases reported in literature till date.
甲状舌管囊肿继而是鳃裂畸形是临床上最常见的先天性颈部肿块，第二鳃裂囊肿和窦道是最常见的类型（LaRiviere和Waldhausen，《北美外科临床》92(3):583 - 597，2012）。虽然这两种异常单独来看都很常见，但如我们病例中所描述的，在同一患者中同时出现却很少见。先天性颈部异常在儿童和成人头颈部肿块的鉴别诊断中是需要考虑的重要因素。这些病变可表现为可触及的囊性肿块、感染性肿块、引流窦道或瘘管。甲状舌管囊肿最为常见，其次是鳃裂畸形。在同一儿童患者中同时出现这两种类型的囊肿和瘘管非常罕见，迄今为止文献中尚无此类病例报道。
