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Pediatric congenital neck masses
Author’s Accepted Manuscript Pediatric congenital neck masses Eelam Adil
www.techgiendoscopy.com
PII: DOI: Reference:
S1043-1810(17)30065-9 http://dx.doi.org/10.1016/j.otot.2017.05.010 YOTOT773
To appear in: Operative Techniques in Otolaryngology - Head and Neck Surgery Cite this article as: Eelam Adil, Pediatric congenital neck masses, Operative Techniques in Otolaryngology - Head and Neck Surgery, http://dx.doi.org/10.1016/j.otot.2017.05.010 This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting galley proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
Pediatric Congenital Neck Masses Pediatric neck masses are a relatively common indication for referral to otolaryngologists. Unlike their adult counterpart, they most commonly represent congenital neck lesions or inflammatory/reactive pathology. Malignancy is less common and represents approximately 10% of pediatric neck masses. Surgical resection is the mainstay of therapy for both diagnostic and therapeutic purposes. This issue of Operative Techniques in Otolaryngology-Head and Neck Surgery provides a comprehensive review of pediatric congenital neck masses. Management of these lesions begins with a detailed understanding of the embryology of the head and neck, which is reviewed in the first chapter. Imaging is often a useful adjunct to a thorough head and neck examination; however, there are special considerations in the pediatric age group, specifically the need for sedation and radiation exposure. The second chapter of this issue highlights current imaging techniques for these lesions with a focus on midline versus lateral neck mass evaluation. The most common congenital neck lesions are branchial cleft anomalies, which are reviewed in chapters three through six. Thyroglossal duct cyst and dermoid resection are reviewed in the next two chapters. Though the Sistrunk procedure was introduced nearly 100 years ago, a deeper appreciation of thyroglossal duct anatomy, namely the posterior hyoid space and arborization of the duct, have led to recent refinements in surgical technique. The final two chapters describe cervical thymic cysts and teratoma, two rarely encountered pathologies that require distinct evaluation and pre-operative planning when compared to the more common pediatric congenital neck lesions.
I would like to thank our esteemed authors for their contributions. It has been a pleasure working with them on these articles and I look forward to working with them again in the future. Additionally, I would like to thank Dr. Goldenberg, my mentor and friend, for the opportunity to serve as editor of this issue.
Eelam Adil MD, MBA
www.techgiendoscopy.com
PII: DOI: Reference:
S1043-1810(17)30065-9 http://dx.doi.org/10.1016/j.otot.2017.05.010 YOTOT773
To appear in: Operative Techniques in Otolaryngology - Head and Neck Surgery Cite this article as: Eelam Adil, Pediatric congenital neck masses, Operative Techniques in Otolaryngology - Head and Neck Surgery, http://dx.doi.org/10.1016/j.otot.2017.05.010 This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting galley proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
Pediatric Congenital Neck Masses Pediatric neck masses are a relatively common indication for referral to otolaryngologists. Unlike their adult counterpart, they most commonly represent congenital neck lesions or inflammatory/reactive pathology. Malignancy is less common and represents approximately 10% of pediatric neck masses. Surgical resection is the mainstay of therapy for both diagnostic and therapeutic purposes. This issue of Operative Techniques in Otolaryngology-Head and Neck Surgery provides a comprehensive review of pediatric congenital neck masses. Management of these lesions begins with a detailed understanding of the embryology of the head and neck, which is reviewed in the first chapter. Imaging is often a useful adjunct to a thorough head and neck examination; however, there are special considerations in the pediatric age group, specifically the need for sedation and radiation exposure. The second chapter of this issue highlights current imaging techniques for these lesions with a focus on midline versus lateral neck mass evaluation. The most common congenital neck lesions are branchial cleft anomalies, which are reviewed in chapters three through six. Thyroglossal duct cyst and dermoid resection are reviewed in the next two chapters. Though the Sistrunk procedure was introduced nearly 100 years ago, a deeper appreciation of thyroglossal duct anatomy, namely the posterior hyoid space and arborization of the duct, have led to recent refinements in surgical technique. The final two chapters describe cervical thymic cysts and teratoma, two rarely encountered pathologies that require distinct evaluation and pre-operative planning when compared to the more common pediatric congenital neck lesions.
I would like to thank our esteemed authors for their contributions. It has been a pleasure working with them on these articles and I look forward to working with them again in the future. Additionally, I would like to thank Dr. Goldenberg, my mentor and friend, for the opportunity to serve as editor of this issue.
Eelam Adil MD, MBA