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[Infected median and lateral neck cysts and fistulas].

J Bennemann, D Westphal

    Deutsche Zahnarztliche Zeitschrift
    |November 1, 1978
    PubMed
    Summary

    Congenital neck anomalies like cysts and fistulas often present with infection and are frequently misdiagnosed. Early and accurate diagnosis is crucial for effective treatment of these rare conditions.

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    Area of Science:

    • Otolaryngology
    • Plastic Surgery
    • Pediatric Surgery

    Background:

    • Congenital anomalies of the neck are rare conditions requiring specialized surgical intervention.
    • This study reviews 50 cases treated over a decade at a dedicated oral and plastic surgery hospital.

    Observation:

    • Infection was a common complication, affecting one-third of cervical cysts and all cervical fistulas.
    • Many congenital neck anomalies were not identified or considered in the initial differential diagnosis.

    Findings:

    • Common misdiagnoses included odontogenous abscess/fistula, floor of mouth phlegmon, lymphoma, and lymph node abscess.
    • Delayed or incorrect diagnosis can complicate management and treatment outcomes.

    Implications:

    • Highlights the need for increased awareness and improved diagnostic accuracy for congenital neck masses.
    • Emphasizes the importance of considering rare congenital conditions in the differential diagnosis of neck pathologies.

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