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Updated: Mar 16, 2026
Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
Published on: February 28, 2025
[Congenital cysts and fistulae in children]
1Service de chirurgie orthopédique et plastique pédiatrique, CHRU Lapeyronie, 371, avenue du Doyen-Gaston-Giraud, 34295 Montpellier cedex 5, France.
Insights
Congenital cysts and fistulae of the face and neck are common birth defects. Complete surgical removal is essential to prevent their recurrence in children and adults.
Area of Science:
- Pediatric Surgery
- Developmental Biology
- Head and Neck Pathology
Background:
- Cysts and fistulae of the face and neck in children are congenital malformations.
- They arise from persistent embryonic remnants due to developmental defects.
- These represent the most frequent pathological malformations in the head and neck region.
Purpose of the Study:
- To describe the nature, classification, and management of congenital facial and cervical cysts and fistulae.
- To highlight the importance of complete surgical excision for preventing recurrence.
Main Methods:
- Review of the embryological origins of facial and neck cysts and fistulae.
- Classification based on anatomical location (median vs. lateral).
- Discussion of clinical presentation, diagnosis, and treatment modalities.
Main Results:
- These malformations are the most common pathological findings of the face and neck in children.
- They can be classified as median or laterocervical cysts and fistulae.
- Discovery can range from birth through adulthood.
Conclusions:
- Congenital cysts and fistulae of the face and neck are common and originate from embryonic remnants.
- Complete surgical excision is the definitive treatment to prevent recurrence.
Abstract:
Cysts and fistulae of the face and neck in children are formed before birth and correspond to the persistence of embryonic remnants that occur due to coalescence defects of embryonic buds or due to epidermal inclusion. They represent the most common pathological malformation of the face and neck. They may be separated according to their location into laterocervical cysts and fistulas or median cysts and fistulas. Their discovery may occur prematurely at birth or later during growth or in adulthood. Their treatment always requires surgical excision, which must be complete in order to prevent recurrences.
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