Congenital cysts and fistulas neck
These birth defects can be located in the middle or on the side, t. E. There are medial and lateral.
If we trace the genetic ancestry in children with congenital cysts and fistulas neck, many can identify the hereditary nature of such pathology.Most inheritance occurs recessive manner.Despite the fact that this pathology is considered innate its first symptoms observed in one year old, 5-7 years old, and after seven years.Only occasionally dense formation near the hyoid bone detected at an earlier age.Apparently, this is due to deep-seated cysts and insufficiently complete the formation of the neck organs.Occurrence
neck cysts, usually preceded by inflammatory diseases of the upper respiratory tract or oral infection.Sometimes there are inflammatory changes in the form of increased cystiform education, painful at palpation.Median cysts and fistulas neck located below the hyoid bone on the midline of the neck.The cyst is usually plotnoelasticheskuyu consistency, moves easily soldered to the body of t
Lateral neck cyst located on the front edge of the sternocleidomastoid muscle.The leading edge of this muscle can be clearly seen when turning the head to one side.For example, if you turn your head to the right, the sternocleidomastoid muscle is visible on the left side, and vice versa.Sometimes it is combined with other congenital anomalies: parotid fistula, hypoplasia of the pinna, the deformation of the external nose.The fistulous tract can be freely opened on the surface of the neck.If the cyst is opened in the inflammatory stage, later on this site forms persistent fistula, through which the skin surface is continuously released muco-purulent discharge, which is supported by irritation around the fistulous.
Surgical treatment is carried out in a "cold" period, when there is no redness of the skin over the cyst and pain.Of all the methods of treatment of fistulas and cysts L0P organs and neck most rational it is surgical.However, despite the variety of methods proposed, the incidence of recurrence of cysts and fistulas remains high - from 33 to 66%.Preoperatively seduksen administered in the morning and at night (for 1.5 hours before surgery), and 30 minutes before it is administered 0.1% solution of atropine.These measures relieve emotional stress in children, allowing the surgeon to work in a relaxed atmosphere.The most common operation is performed under local anesthesia.Median cyst of the neck has thin walls that easily rupture during the operation, contains viscous mucous secretion, and even hair.
median and lateral neck fistula often are the result of a breakthrough festering cysts and rarely exist as an independent malformation.They are defined as a strand on the surface of the neck.Outside fistula hole looks like a small slit from which the muco-purulent contents released.Fistulas can be full (with external and internal openings) and incomplete (only have the external opening).Fistulas can be opened in the throat.
additional methods of examination of the child, which reliably indicates the malformation are fistulous intubation, insertion of the contrast agent, followed by X-rays.
treatment of fistulas of the neck is carried out only by surgery.