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Drainage
Swelling
Infection
Thyroid Scan
Ultrasound Scan
Thyroxin Levels
Cysts
Sinuses
Fistulas
30% of congenital neck masses
AKA sternomastoid tumour of infancy
Associated congenital hip dislocation
Enlargement of the mass
Infection
First Branchial Arch
Cleft lip and palate
Abnormal shape of the external ear
Malformation of the internal ossicles
First Branchial Cleft
Microtia
Aural atresia
Type 1:
1st branchial groove
No cartilage or adnexal tissue
Swellings near the ear
Type 2:
Associated with parotid gland
Contain skin and adnexal structures
Swellings inf. to angle of mandible or ant. to sternocleidomastoid
Draining pit or fistula in anterior triangle
Infected tract
Mass in anterior triangle
Midline
Below hyoid
Smooth
Soft
Non Tender
No movement on tongue protrusion
Hypothyroidism
Neonatal neck mass
Recurrent deep neck infection
Sinus diagnosed on barium swallow or sinogram
Recurrent deep neck infections or suppurative thyroiditis
Thyroid diverticulum develops from foramen cecum and descends in the neck.
Hyoid bone develops from second branchial arch
Thyroglossal duct may pass in front of, behind or through the hyoid.
Failed resolution
Enlargement
Pain
Infection
Respiratory distress
CT
MRI
Contrasted CT
FBC
X-match
FIRST ARCH
50% are present at birth
80% are present by 3 years of age
Boys = Girls
Classified by Landing and Farber:
Lymphangioma simplex
Cavernous lymphangioma
Cystic hygroma / Cystic lymphangioma
1. Thyroglossal Duct Cyst
2. Cystic Hygroma/Lymphangioma
3. Remnants Of Embryonic Branchial
Apparatus
4. Fibromatosis Colli
5. Pre-Auricular Pit/Fistula
BIBLIOGRAPHY
1. Ashcraft's Paediatric Surgery, fifth edition
2. Byron's Paediatric Otorynolaryngology
3. Google image search
4. www.wikipedia.com
5. Gray's Atlas of Anatomy