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Otolaryngology, ENT & Sinus News Provided by the California Sinus CentersForegut Duplication Cysts in the Head and Neck: Presentation, Diagnosis, and Management [Original Article]August 1, 2010, 12:00 pm by Archives of Otolaryngology Head & Neck SurgeryObjective To review the presentation, diagnosis, and management of foregut duplication cysts of the head and neck in our institution. Design An institutional review board–approved retrospective review of all patients treated for foregut duplication cysts of the head and neck over an 18-year period. Setting Pediatric otolaryngology tertiary referral center. Patients Twenty-two patients with 23 pathologically confirmed foregut duplication cysts of the head and neck were identified. Fourteen patients (64%) were male. The median age at diagnosis was 1.5 years (age range, 5 days to 7 years). Main Outcome Measures Clinical data, including age, presenting symptoms, anatomical site(s), evaluation, treatment, and complication, were recorded and analyzed. Results Presentation varied depending on anatomical site of involvement, with 12 patients (55%) being asymptomatic. The cysts were found in the oral cavity (n = 12), oropharynx (n = 6), supraglottis (n = 2), and neck (n = 3). Imaging, which was performed in 13 patients and consisted of magnetic resonance imaging (n = 8), computed tomography (n = 5), and ultrasonography (n = 1), demonstrated the cystic nature of the lesions. All patients underwent surgical excision, which focused on excising the cyst, while preserving surrounding normal tissues. No patient demonstrated recurrence at follow-up. Conclusions Foregut duplication cysts of the head and neck, although uncommon, should be included in the differential diagnosis of cystic head and neck lesions. Preoperative imaging is recommended to differentiate these lesions from other congenital head and neck masses. Surgical excision biopsy with complete removal of the mucosal lining is curative, with no instances of recurrence in our series.
More from Archives of Otolaryngology Head & Neck Surgery Long-term Health-Related Quality of Life in Survivors of Head and Neck Cancer [Original Article] Archives of Otolaryngology Head & Neck Surgery: January 16, 2012, 12:00 pm Objective To examine health-related quality of life (HRQOL) reported by 5-year head and neck cancer survivors and factors that predicted these long-term scores. Design Prospective, observational outcomes study. Setting Tertiary care institution. Patients A total Sequential Bilateral Cochlear Implantation in Children: Quality of Life [Original Article] Archives of Otolaryngology Head & Neck Surgery: January 16, 2012, 12:00 pm Objective To assess the effect of sequential bilateral cochlear implantation in children on their quality of life (QoL). Design Prospective cohort-control study. Setting Tertiary academic referral center. Patients Thirty children with prelingual deafness underwent sequential Disinfection of Flexible Fiberoptic Laryngoscopes After In Vitro Contamination With Staphylococcus aureus and Candida albicans [Original Article] Archives of Otolaryngology Head & Neck Surgery: January 16, 2012, 12:00 pm Objective To determine the efficacy of various cleaning and disinfective methods in reducing bacterial and fungal load on flexible fiberoptic laryngoscopes (FFLs). Design In vitro model. Subjects Flexible fiberoptic laryngoscopes contaminated with Staphylococcus aureus Winter scene, Pittsburgh, Pennsylvania [About the Cover] Archives of Otolaryngology Head & Neck Surgery: January 1, 2012, 12:00 pm About This Journal [About This Journal] Archives of Otolaryngology Head & Neck Surgery: January 1, 2012, 12:00 pm
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