A Clinical Analysis of Pharyngeal Bronchogenic Cysts in the Pharynx of Children
Objective: This study was designed to summarize the clinical characteristics, diagnosis and treatment of pharyngeal bronchogenic cysts in children to help in making the correct diagnosis and developing an appropriate treatment plan.Methods: The clinical data of 13 children with bronchogenic cysts in...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2021-05-01
|
| Series: | Frontiers in Pediatrics |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fped.2021.629009/full |
| _version_ | 1819084848229253120 |
|---|---|
| author | Ying Xu Fugen Han Dongjie Seng Lan Jiang Shengcai Wang Xin Ni Jie Zhang |
| author_facet | Ying Xu Fugen Han Dongjie Seng Lan Jiang Shengcai Wang Xin Ni Jie Zhang |
| author_sort | Ying Xu |
| collection | DOAJ |
| description | Objective: This study was designed to summarize the clinical characteristics, diagnosis and treatment of pharyngeal bronchogenic cysts in children to help in making the correct diagnosis and developing an appropriate treatment plan.Methods: The clinical data of 13 children with bronchogenic cysts in the pharynx, who were treated in otolaryngology head and neck surgery department between September 2013 and July 2019, were analyzed retrospectively. The clinical characteristics were evaluated, and the related factors for diagnosis and treatment were analyzed. Clinical characteristics and imaging features of three cases whose lesions located in the nasopharyngeal, oropharynx, and laryngopharyngeal were demonstrated.Results: All 13 children were male, the youngest being 4 days old, the oldest 6 years and 6 months, and the median age being 1 year and 4 months. Eight patients were diagnosed during a physical examination, and five patients visited the doctor with different degrees of upper airway obstruction. The mass was located in the nasopharynx in one patient, in the oropharynx in eight patients, and in the laryngopharynx in the other four patients. Computed tomography (CT) scanning, which is helpful for a topical diagnosis, showed a dense homogeneous mass. Electronic nasopharyngoscopy showed cystic masses of different sizes in the pharynx. All the children underwent cyst resection under general anesthesia, and the postoperative pathology result was a bronchogenic cyst. One child was lost to follow-up, but the remaining 12 children were followed up for between 6 months and 6 years, during which no recurrence of a cyst was found.Conclusion: Bronchogenic cysts are a rare cyst of the head and neck, and the most common site of the cyst is the oropharynx. The impact on airway obstruction depends on the location and size of the cyst. CT scanning is of great significance for diagnosis. Surgical treatment should be carried out as soon as possible after diagnosis, as surgery is the most effective way to treat bronchogenic cysts. Follow-ups should be carried out regularly to prevent cyst recurrence. |
| first_indexed | 2024-12-21T20:54:59Z |
| format | Article |
| id | doaj.art-520eaf725c594a79b3a3123ae4041c10 |
| institution | Directory Open Access Journal |
| issn | 2296-2360 |
| language | English |
| last_indexed | 2024-12-21T20:54:59Z |
| publishDate | 2021-05-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pediatrics |
| spelling | doaj.art-520eaf725c594a79b3a3123ae4041c102022-12-21T18:50:36ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602021-05-01910.3389/fped.2021.629009629009A Clinical Analysis of Pharyngeal Bronchogenic Cysts in the Pharynx of ChildrenYing Xu0Fugen Han1Dongjie Seng2Lan Jiang3Shengcai Wang4Xin Ni5Jie Zhang6Department of Otorhinolaryngology Head and Neck Surgery, Henan Children's Hospital, Zhengzhou Children's Hospital, Children's Hospital Affiliated of Zhengzhou University, Zhengzhou, ChinaDepartment of Otorhinolaryngology Head and Neck Surgery, Henan Children's Hospital, Zhengzhou Children's Hospital, Children's Hospital Affiliated of Zhengzhou University, Zhengzhou, ChinaDepartment of Otorhinolaryngology Head and Neck Surgery, Henan Children's Hospital, Zhengzhou Children's Hospital, Children's Hospital Affiliated of Zhengzhou University, Zhengzhou, ChinaDepartment of Otorhinolaryngology Head and Neck Surgery, Henan Children's Hospital, Zhengzhou Children's Hospital, Children's Hospital Affiliated of Zhengzhou University, Zhengzhou, ChinaDepartment of Otolaryngology Head and Neck Surgery, Beijing Children's Hospital, National Center for Children's Health, Capital Medical University, Beijing, ChinaDepartment of Otolaryngology Head and Neck Surgery, Beijing Children's Hospital, National Center for Children's Health, Capital Medical University, Beijing, ChinaDepartment of Otolaryngology Head and Neck Surgery, Beijing Children's Hospital, National Center for Children's Health, Capital Medical University, Beijing, ChinaObjective: This study was designed to summarize the clinical characteristics, diagnosis and treatment of pharyngeal bronchogenic cysts in children to help in making the correct diagnosis and developing an appropriate treatment plan.Methods: The clinical data of 13 children with bronchogenic cysts in the pharynx, who were treated in otolaryngology head and neck surgery department between September 2013 and July 2019, were analyzed retrospectively. The clinical characteristics were evaluated, and the related factors for diagnosis and treatment were analyzed. Clinical characteristics and imaging features of three cases whose lesions located in the nasopharyngeal, oropharynx, and laryngopharyngeal were demonstrated.Results: All 13 children were male, the youngest being 4 days old, the oldest 6 years and 6 months, and the median age being 1 year and 4 months. Eight patients were diagnosed during a physical examination, and five patients visited the doctor with different degrees of upper airway obstruction. The mass was located in the nasopharynx in one patient, in the oropharynx in eight patients, and in the laryngopharynx in the other four patients. Computed tomography (CT) scanning, which is helpful for a topical diagnosis, showed a dense homogeneous mass. Electronic nasopharyngoscopy showed cystic masses of different sizes in the pharynx. All the children underwent cyst resection under general anesthesia, and the postoperative pathology result was a bronchogenic cyst. One child was lost to follow-up, but the remaining 12 children were followed up for between 6 months and 6 years, during which no recurrence of a cyst was found.Conclusion: Bronchogenic cysts are a rare cyst of the head and neck, and the most common site of the cyst is the oropharynx. The impact on airway obstruction depends on the location and size of the cyst. CT scanning is of great significance for diagnosis. Surgical treatment should be carried out as soon as possible after diagnosis, as surgery is the most effective way to treat bronchogenic cysts. Follow-ups should be carried out regularly to prevent cyst recurrence.https://www.frontiersin.org/articles/10.3389/fped.2021.629009/fullbronchogenic cystspharynxpathologytreatmentchildren |
| spellingShingle | Ying Xu Fugen Han Dongjie Seng Lan Jiang Shengcai Wang Xin Ni Jie Zhang A Clinical Analysis of Pharyngeal Bronchogenic Cysts in the Pharynx of Children Frontiers in Pediatrics bronchogenic cysts pharynx pathology treatment children |
| title | A Clinical Analysis of Pharyngeal Bronchogenic Cysts in the Pharynx of Children |
| title_full | A Clinical Analysis of Pharyngeal Bronchogenic Cysts in the Pharynx of Children |
| title_fullStr | A Clinical Analysis of Pharyngeal Bronchogenic Cysts in the Pharynx of Children |
| title_full_unstemmed | A Clinical Analysis of Pharyngeal Bronchogenic Cysts in the Pharynx of Children |
| title_short | A Clinical Analysis of Pharyngeal Bronchogenic Cysts in the Pharynx of Children |
| title_sort | clinical analysis of pharyngeal bronchogenic cysts in the pharynx of children |
| topic | bronchogenic cysts pharynx pathology treatment children |
| url | https://www.frontiersin.org/articles/10.3389/fped.2021.629009/full |
| work_keys_str_mv | AT yingxu aclinicalanalysisofpharyngealbronchogeniccystsinthepharynxofchildren AT fugenhan aclinicalanalysisofpharyngealbronchogeniccystsinthepharynxofchildren AT dongjieseng aclinicalanalysisofpharyngealbronchogeniccystsinthepharynxofchildren AT lanjiang aclinicalanalysisofpharyngealbronchogeniccystsinthepharynxofchildren AT shengcaiwang aclinicalanalysisofpharyngealbronchogeniccystsinthepharynxofchildren AT xinni aclinicalanalysisofpharyngealbronchogeniccystsinthepharynxofchildren AT jiezhang aclinicalanalysisofpharyngealbronchogeniccystsinthepharynxofchildren AT yingxu clinicalanalysisofpharyngealbronchogeniccystsinthepharynxofchildren AT fugenhan clinicalanalysisofpharyngealbronchogeniccystsinthepharynxofchildren AT dongjieseng clinicalanalysisofpharyngealbronchogeniccystsinthepharynxofchildren AT lanjiang clinicalanalysisofpharyngealbronchogeniccystsinthepharynxofchildren AT shengcaiwang clinicalanalysisofpharyngealbronchogeniccystsinthepharynxofchildren AT xinni clinicalanalysisofpharyngealbronchogeniccystsinthepharynxofchildren AT jiezhang clinicalanalysisofpharyngealbronchogeniccystsinthepharynxofchildren |