[Cysts and congenital fistulas of the face and the neck. About 78 cases].
The cysts and congenital fistulas of the face and neck induce frequent malformations in Oto-Rhino-Laryngology. A retrospective study on these malformations has been carried out from January 1986 to December 2001 in the Oto-Rhino-Laryngology unit of the Brazzaville Teaching Hospital. This study considered the epidemio-clinical aspects, the modes of therapeutic treatment and the evolution of these congenital pathologies. The cysts and congenital fistulas represented 2% of the consultations in the service. Patients were aged of 10 months to 50 years (average age: 21 +/- 5 years) among them 49 men (63%) and 29 women (37%). The pathology appeared in childhood in 41% of the cases and during adult age in 59% of the cases. The main circumstances of discovery were: cystic swelling (72%), infectious complication (18%) and productive fistula (10%). The clinical forms have been dominated by the cysts of the thyreoglossal tractus (72%), followed by the pre-auricular fistulas (10%), the amygdaloid (9%), dermoid (6%) and nasopalatine (3%) cysts. The treatment was in any case surgical. A good embryo-pathogenic knowleldge should contribute to a complete surgical exeresis, a necessary condition to avoid recurrence.
Ondzotto
G
G
Service ORL. BP: 13356 CHU de Brazzaville, Congo. ondzotto@voila.fr
Ehouo
F
F
Peko
J F
JF
Fouemina
T
T
Bissiko
F
F
Akolbout
D
D
Mokebe
M
M
D000328:Adult; D003223:Congo / Q000453:epidemiology; D003560:Cysts / Q000453:epidemiology / Q000601:surgery; D005145:Face; D005260:Female; D005402:Fistula / Q000151:congenital* / Q000453:epidemiology / Q000601:surgery; D006801:Humans; D008297:Male; D009333:Neck; D010038:Otorhinolaryngologic Diseases / Q000209:etiology / Q000601:surgery; D013955:Thyroglossal Cyst / Q000453:epidemiology / Q000601:surgery