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Intralingual cysts of foregut origin
R Wiersma1, G P Hadley, A T Bosenberg
1Department of Paediatric Surgery, University of Natal, Durban, South Africa.
Journal of Pediatric Surgery
|November 1, 1992
Summary
Foregut origin intralingual cysts are rare, often presenting in neonates with feeding issues. Complete surgical excision via sagittal glossal split is the recommended treatment, as cyst aspiration is ineffective.
Area of Science:
- Otolaryngology
- Pediatric Surgery
- Developmental Biology
Background:
- Intralingual cysts originating from foregut epithelium are exceptionally rare.
- These congenital lesions typically manifest in neonates, causing feeding difficulties.
Purpose of the Study:
- To describe the clinical features and histological variations of intralingual cysts.
- To evaluate the efficacy of surgical excision versus cyst aspiration for treatment.
Main Methods:
- Retrospective review of 16 patients with intralingual cysts over an 8-year period (1983-1990).
- Analysis of cyst epithelium types (respiratory, squamous) and clinical presentations.
- Surgical outcomes following sagittal glossal split excision were assessed.
Main Results:
- Respiratory and squamous epithelia were the most frequent types observed.
- Feeding difficulty was the primary symptom in the neonatal period.
- Complete surgical excision through a sagittal glossal split proved effective.
- Cyst aspiration was insufficient as a definitive treatment.
Conclusions:
- Intralingual cysts of foregut origin require complete surgical excision.
- Sagittal glossal split offers a safe and effective surgical approach.
- Elective neonatal surgery is recommended for these rare cysts.