Clinical analysis of patients with neck cysts in Department of Pediatric Otolaryngology Medical University of Warsaw in years 2011-2014

Monika Jabłońska-Jesionowska, *Lidia Zawadzka-Głos

Summary
Introduction. On the neck in children often appears to variety masses. Most of them are benign lesions due to inflammatory processes. There are also malignancy changes, but most frequently occurs congenital cysts.
Aim. The aim of this study was to analyze clinical data of 42 children admitted to the ENT Pediatric Department of Medical University of Warsaw with initial diagnosis of cysts of the neck.
Material and methods. The records of 42 patients were analyzed according to the age, gender, location of changes, the type of treatment and long-term results.
Results. Among a group of 42 children in 26 changes were localized in the midline of the neck, in 16 in the lateral regions of the neck. In 26 children with changes in the midline in 22 cases the congenital malformation were found. Among the 15 children with changes localized in the lateral regions of the neck in 14 cases congenital defects were found. Most frequent congenital anomalies of midline was thyroglossal duct cyst and in laterocervical region cysts of second branchial apparatus. All children underwent surgery in the ENT Department.
Conclusions. Cystic changes of the neck are the most common congenital malformations. Changes located in the midline most often occur in the first decade of life, changes in the lateral regions of the neck over the first decade of life. Complete surgical removal of the cysts prevents recurrence. Each removed mass requires histopathological examination.

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