International Journal of Head and Neck Surgery

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VOLUME 8 , ISSUE 4 ( October-December, 2017 ) > List of Articles

CASE REPORT

Enlarging Painful Neck Mass in a Child: Urgent or Elective?

Yemeng Lu-Myers, Elizabeth Nichols, Kevin D Pereira

Keywords : Brachial cleft cysts, Dermoid cyst, Lymphatic malformation, Pediatric neck mass, Suppurative lymphadenitis

Citation Information : Lu-Myers Y, Nichols E, Pereira KD. Enlarging Painful Neck Mass in a Child: Urgent or Elective?. Int J Head Neck Surg 2017; 8 (4):145-149.

DOI: 10.5005/jp-journals-10001-1324

License: CC BY-NC 4.0

Published Online: 01-05-2019

Copyright Statement:  Copyright © 2017; The Author(s).


Abstract

Four pediatric patients with enlarging, painful, and acutely infected lateral neck masses presented to the emergency department of a tertiary care Children's Hospital are described. These masses include suppurative lymphadenitis, brachial cleft anomaly, dermoid cyst, and an infected lymphatic malformation. Differences between these four disease processes in presentation, exam findings, and radiological features are highlighted to help determine the level of acuity in care. The immediate and subsequent management of the patients is described to help guide subspecialty consultations for intervention.


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  1. Tracy TF, Muratore CS. Management of common head and neck masses. Semin Pediatr Surg. 2007;16(1):3-13.
  2. Badawy MK. Pediatric Neck Masses. Clin Pediatr Emerg Med. 2010;11(2):73-80.
  3. Waldhausen JHT. Branchial cleft and arch anomalies in children. Semin Pediatr Surg. 2006;15(2):64-69.
  4. Leung AKC, Davies HD. Cervical lymphadenitis: etiology, diagnosis, and management. Curr Infect Dis Rep. 2009;11(3):183-189.
  5. Torsiglieri AJ, Tom LW, Ross AJ, Wetmore RF, Handler SD, Potsic WP. Pediatric neck masses: guidelines for evaluation. Int J Pediatr Otorhinolaryngol. 1988;16(3):199-210.
  6. Rosen D, Wirtschafter A, Rao VM, Wilcox TO. Dermoid cyst of the lateral neck: a case report and literature review. Ear Nose Throat J. 1998;77(2):125, 129-132.
  7. Pryor SG, Lewis JE, Weaver AL, Orvidas LJ. Pediatric dermoid cysts of the head and neck. Otolaryngol Head Neck Surg. 2005;132(6):938-942.
  8. Holt GR, Holt JE, Weaver RG. Dermoids and teratomas of the head and neck. Ear Nose Throat J. 1979;58(12):520-531.
  9. Rosa PA, Hirsch DL, Dierks EJ. Congenital neck masses. Oral Maxillofac Surg Clin North Am. 2008;20(3):339-352.
  10. Enepekides DJ. Management of congenital anomalies of the neck. Facial Plast Surg Clin North Am. 2001;9(1):131-145.
  11. Burezq H, Williams B, Chitte SA. Management of cystic hygromas: 30 year experience. J Craniofac Surg. 2006;17(4):815-818.
  12. Emery PJ, Bailey CM, Evans JN. Cystic hygroma of the head and neck. A review of 37 cases. J Laryngol Otol. 1984;98(6):613-619.
  13. Kadom N, Lee EY. Neck masses in children: Current imaging guidelines and imaging findings. Semin Roentgenol. 2012;47(1): 7-20.
  14. Malik A, Odita J, Rodriguez J, Hardjasudarma M. Pediatric neck masses: A pictorial review for practicing radiologists. Curr Probl Diagn Radiol. 2002;31(4):146-157.
  15. Wong KT, Lee YYP, King AD, Ahuja AT. Imaging of cystic or cyst-like neck masses. Clin Radiol. 2008;63(6):613-622.
  16. Mittal MK, Malik A, Sureka B, Thukral BB. Cystic masses of neck: A pictorial review. Indian J Radiol Imaging. 2012;22(4): 334-343.
  17. Acierno SP, Waldhausen JHT. Congenital cervical cysts, sinuses and fistulae. Otolaryngol Clin North Am. 2007;40(1):161-176.
  18. Gross E, Sichel J-Y. Congenital neck lesions. Surg Clin North Am. 2006;86(2):383-392.
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