Erdal TÜRK, Bahadır ÇALIŞKAN, İlhami SÜRER, Haluk ÖZTÜRK, Suzi DEMİRBAĞ, Ahmet GÜVEN, Cüneyt ATABEK

Çocuklarda Doğumsal Baş Boyun Kitleleri: 10 Yıllık Deneyimimiz

Amaç: Doğumsal kist ve fistüller boynun en sık görülen noninflamatuar kitleleridir. Boyunda görülen yerleşim yerlerine göre lateral, orta hat ve tüm boyun olarak sınıflandırılmaktadırlar. Bu çalışmada kliniğimizde doğumsal boyun kitlesi nedeniyle tedavi edilen olguların klinik özellikleri ve tedavi yöntemleri incelendi.Materyal ve Metod: Hastanemiz kayıtlarının geriye dönük olarak incelenmesi sonucunda, 1998 ve 2008 yılları arasında doğumsal boyun kist veya fistülü nedeniyle kliniğimizde tedavi edilen 63 hastanın demografik bilgileri, klinik özellikleri, tedavi yöntemleri ve tedavi sonuçları açısından değerlendirildi.Bulgular: Olguların 38’i kız, 25’i erkekti. Ortanca yaş 5.3 yıl (0 gün-14 yıl) olarak saptandı. Lezyon, olguların 43’ünde (% 68) orta hat, 20’sinde (%32) ise lateral yerleşimliydi. En sık rastlanan anomaliler tiroglossal kanal anomalisi (n=19, %30) ve ikinci sırada ise brankiyal kanal anomalisiydi (n=14, %22). Olguların çoğunluğu boyunda ağrısız kitle şikayetiyle müracaat etti ve olguların çoğunluğunda kitle total eksize edilerek tedavi edildi.Sonuç: Çocukluk çağında tiroglossal kanal ve ikinci brankiyal kabartı anomalileri en sık görülen lezyonlardır. Bu olguların başarılı tedavisi için bu lezyonların embriyolojisinin, anatomik özelliklerinin ve tanı yöntemlerinin çok iyi bilinmesi gereklidir.

Anahtar Kelimeler:

Doğumsal boyun kitleleri, tiroglossal duktus kisti, brankiyal kanal anomalisi, çocukluk dönemi

CONGENITAL CYSTS AND FISTULAS OFTHE NECK IN CHILDREN: 10 YEARS EXPERIENCE

Objective: Congenital cysts and fistulas of the neck are the most common non-inflammatory neck masses and classified as lateral , midline or entire neck masser. We reviewed the clinical signs and treatment of the congenital neck mass in children evaluated in our department. Material and Method: Hospital records of 63 patents admitted to our department between 1998 and 2008 with congenital cysts and fistulas of the neck were reviewed retrospectively, in terms of patient demographics, signs and symptoms, treatment modalities and therapy results. Results: Of the children, 38 were boys and 25 were girls. The mean age of children was 5.3 years (range; 0 day-14 years). Cases were classified as having 43 (% 68) midline and 20 (%32) lateral neck masses. The most frequent mass was thyroglossal duct cyst (n=19, %30), followed by fistula of the second branchial arch anomalies (n=14, %22). The majority of lesions presented with painless neck swelling, and in the most of cases, treatment consisted of complete excision. Conclusions: Thyroglossal duct cyst (fistulas) and second branchial arch anomalies were the most common congenital mass lesions located on the neck area in children. Understanding relevant embryology and pathophysiology and appropriate diagnostic modalities of these lesions is necessary for successful management

Keywords:

Congenital neck mass, Thyroglossal duct cyst, branchial arch anomalies, childhood,

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