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Intralingual foregut duplication cyst in a newborn
Mohamed A el-Bitar1, Gregory Milmoe, Shimareet Kumar
1Department of Pediatric Otolaryngology-Head and Neck Surgery, Children's National Medical Center, George Washington University School of Medicine, Washington, D.C., USA. mb36@aub.edu.lb
Ear, Nose, & Throat Journal
|July 17, 2003
Summary
This study details a rare intralingual foregut duplication cyst lined with gastric mucosa. High-resolution sonography proved effective for prenatal diagnosis and surgical planning in newborns.
Area of Science:
- Pediatric Surgery
- Developmental Biology
- Gastroenterology
Background:
- Congenital lingual cystic masses present diagnostic and management challenges.
- Intralingual foregut duplication cysts are exceptionally rare, with few documented cases.
- These cysts can manifest prenatally or postnatally, requiring careful evaluation.
Observation:
- This report describes the ninth documented case of an intralingual foregut duplication cyst.
- The cyst was found to be lined with gastric mucosa.
- The lesion was detected in a newborn, presenting as a lingual cystic mass.
Findings:
- High-resolution sonography is a valuable, non-invasive tool for evaluating lingual cystic masses in infants.
- Sonography effectively characterized the lesion as a nonvascular cystic mass and delineated its extent.
- Computed tomography (CT) and magnetic resonance imaging (MRI) may necessitate sedation, posing risks to newborns.
Implications:
- Accurate prenatal and postnatal diagnosis of lingual cystic masses is crucial for appropriate management.
- High-resolution sonography offers a preferred imaging modality for neonatal lingual masses over CT or MRI.
- Bipolar cautery is presented as a safe and effective surgical technique for excising such lesions.