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Surgical Experiences of Pediatric Cervical Bronchogenic Cysts: A Case Series of 6 Patients
Yanzhen Li1, Shengcai Wang1, Jun Tai1
1Department of Otolaryngology, Head and Surgery, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Xicheng, Beijing, People's Republic of China.
Insights
This study highlights 6 pediatric cases of congenital cervical bronchogenic cysts. Complete surgical excision of these rare airway anomalies, including base cartilage, is crucial to prevent recurrence and protect the recurrent laryngeal nerve (RLN).
Area of Science:
- Pediatric Surgery
- Congenital Anomalies
- Thoracic Surgery
Background:
- Bronchogenic cysts are rare congenital anomalies, often presenting in the neck region.
- These cysts can cause significant health issues in pediatric patients.
- Accurate diagnosis and surgical management are essential for favorable outcomes.
Purpose of the Study:
- To present 6 cases of pediatric cervical bronchogenic cysts.
- To discuss the diagnostic and surgical experiences with this anomaly.
- To emphasize the importance of complete resection and nerve protection.
Main Methods:
- Retrospective study of 6 pediatric patients with cervical bronchogenic cysts (2016-2019).
- Analysis of clinical data: age, symptoms, imaging, surgical procedures, and complications.
- Surgical excision with intraoperative recurrent laryngeal nerve (RLN) monitoring.
Main Results:
- All 6 patients underwent successful surgical excision.
- Five patients had complete removal without recurrence; one required re-operation due to residual cartilage.
- Recurrent laryngeal nerves (RLNs) were identified and preserved in all cases, with no surgical complications.
Conclusions:
- Cervical bronchogenic cysts are rare but important differential diagnoses for pediatric peritracheal masses.
- Complete surgical resection, including basal cartilage, is vital for preventing recurrence.
- Protection of the recurrent laryngeal nerve (RLN) during surgery is paramount.
Objectives:
Bronchogenic cyst is a rare congenital disease which occurs especially in the neck region. This report presents 6 cases of bronchogenic cysts and discusses the diagnosis and surgical experience of this anomaly.
Methods:
A retrospective study of 6 pediatric patients with cervical bronchogenic cysts treated in our hospital during 2016 to 2019 was performed. We recorded and analyzed the clinical data of the patients, including age, symptoms, imaging findings, surgical procedure, and complications.
Results:
All patients underwent surgical excision. The chondroid tissues were found at the base of cysts which clung to the trachea in 5 patients and completely removed by surgery without recurrence. One patient showed recurrence due to residual cartilage after the first surgery, and the second surgery was required to resect the remaining cartilage. During the surgery, the recurrent laryngeal nerve (RLN) detector was used, which confirmed that all the RLNs clung to the side wall of cysts. All cases were cured without complications.
Conclusions:
Although rare, bronchogenic cysts should be considered in the differential diagnosis of peritracheal masses in children. Complete resection of the bronchogenic cysts, including the cartilages at the base, is vital in preventing recurrence. The RLN must be protected during the surgery.
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