先天性无脉性颈部肿块：回顾性分析。

Congenital nonvascular neck masses: a retrospective analysis.

机构信息

Researcher, Division of Maxillofacial Surgery, University Hospital "Maggiore della Carità." University of Eastern Piedmont, Novara, Italy.

Consultant, Division of Maxillofacial Surgery, University Hospital "Maggiore della Carità," University of Eastern Piedmont, Novara, Italy.

出版信息

Oral Surg Oral Med Oral Pathol Oral Radiol. 2020 Mar;129(3):192-199. doi: 10.1016/j.oooo.2019.06.001. Epub 2019 Jun 12.

DOI:10.1016/j.oooo.2019.06.001

PMID:31767452

Abstract

OBJECTIVE

Congenital nonvascular neck masses are a challenge in head and neck diagnosis and management. The aim of this study was to analyze the clinical and epidemiologic findings in patients who were diagnosed with congenital nonvascular neck masses.

STUDY DESIGN

All cases of patients with congenital nonvascular neck masses who were treated between 1996 and 2018 were reviewed. The following data were recorded: age, gender, final pathologic diagnosis (thyroglossal duct cysts, branchial cleft cysts, dermoid cysts), side of the lesion, subtype according to branchial arch (for branchial cleft cysts), and need for second surgery.

RESULTS

In total, 226 patients were included: 100 with thyroglossal duct cysts, 97 with branchial cysts, and 29 with dermoid cysts. Excision surgery was performed in all cases. Recurrence and subsequent second surgery was necessary in 5 cases.

CONCLUSIONS

Appropriate knowledge of clinical and epidemiologic data regarding congenital nonvascular neck masses is crucial. Surgical resection is the optimal choice of therapy. Early referral of these patients to a head and neck surgeon is crucial for timely treatment.

摘要