title: Management of congenital neck lesions in children.
abstract: BACKGROUND
  A retrospective clinical trial was conducted to evaluate the clinical features and treatment outcomes and to determine the incidence of complications in children with congenital neck lesions (CNLs) treated at our institution with a special emphasis on thyroglossal duct remnant (TGDR), branchial cleft anomaly (BCA), and dermoid cyst (DC).
  
  
  METHODS
  This series had 72 patients with CNL. The diagnosis of CNL was made by physical examination, ultrasound (US) in most, and for a potential extension of the mass computed tomography (CT) or magnetic resonance imaging (MRI) in a few patients and confirmed by histopathological examination in all of the children.
  
  
  RESULTS
  Of the patients in this series, 39 (54.2%) children had thyroglossal duct remnant (TGDR). The most common surgical procedure (n = 36) in these children was Sistrunk's procedure. Four children (10.3%) with TGDR had associated anomalies including Turner syndrome and Morgagni hernia. During the study period, 25 (34.7%) children with branchial cleft anomaly (BCA) were treated and most of these were second branchial anomalies. There were eight children (11.1%) with dermoid cyst (DC).
  
  
  CONCLUSIONS
  TGDR is the most common CNL and is presented clinically rather late with regard to BCA and DC in this series. Surgical resection is optimal choice of therapy in CNLs not only for aesthetic reasons but also for the recurrent infections and the potential danger of malignancy. Definitive surgery may be associated with high morbidity, especially recurrence. Associated anomalies may be observed, especially in children with TGDR. Although the Sistrunk's procedure is a safe and successful technique, life-threatening complications should also be kept in mind during the management of these lesions and early and adequate surgical treatment is suggested.
authors: Departments of Pediatric Surgery, Dr. Behcet Uz Children's Hospital, Izmir, Turkey. Electronic address: verikci@yahoo.com.
authors: Volkan
authors: V
authors: Erikci
authors: Departments of Pediatric Surgery, Dr. Behcet Uz Children's Hospital, Izmir, Turkey.
authors: Münevver
authors: M
authors: Hoşgör
mesh_terms: D000293:Adolescent; D001934:Branchial Region / Q000002:abnormalities* / Q000601:surgery; D002648:Child; D002675:Child, Preschool; D019465:Craniofacial Abnormalities / Q000601:surgery*; D003884:Dermoid Cyst / Q000151:congenital / Q000601:surgery*; D003952:Diagnostic Imaging; D005260:Female; D006258:Head and Neck Neoplasms / Q000151:congenital / Q000601:surgery*; D006801:Humans; D015994:Incidence; D007223:Infant; D008297:Male; D010608:Pharyngeal Diseases / Q000151:congenital / Q000601:surgery*; D011183:Postoperative Complications / Q000453:epidemiology; D012189:Retrospective Studies; D013955:Thyroglossal Cyst / Q000151:congenital / Q000601:surgery*; D016896:Treatment Outcome
keywords: Branchial cleft anomaly; Congenital neck mass; Dermoid cyst; Thyroglossal duct remnant