Congenital Head and Neck Lesions

Abstract

Various congenital head and neck lesions can present in the pediatric population. In this article, we will discuss some of the more common lesions encountered in the pediatric population including thyroglossal duct anomalies, dermoid cysts, branchial cleft anomalies, vascular and lymphatic malformations. Since they are encountered frequently, it is important for the radiologists to be aware of some of the common lesions and their imaging features.

Keywords

congenital - branchial cleft anomalies - thyroglossal duct cysts - dermoid cysts - vascular - lymphatic

• References

• 1 Pounds LA. Neck masses of congenital origin. Pediatr Clin North Am 1981; 28 (4) 841-844
• 2 Ward GE, Hendrick JW, Chambers RG. Thyroglossal tract abnormalities, cysts and fistulas; report of 105 cases from the Johns Hopkins Hospital observed during the years 1926 to 1946. Surg Gynecol Obstet 1949; 89 (6) 727-734 , illust
• 3 Dische S, Berg PK. An investigation of the thyroglossal tract using the radio-isotope scan. Clin Radiol 1963; 14: 298-303
• 4 Allard RH. The thyroglossal cyst. Head Neck Surg 1982; 5 (2) 134-146
• 5 Ellis PD, van Nostrand AW. The applied anatomy of thyroglossal tract remnants. Laryngoscope 1977; 87 (5 Pt 1): 765-770
• 6 Sistrunk WE. The surgical treatment of cysts of the thyroglossal tract. Ann Surg 1920; 71 (2) 121-122 , 2
• 7 Som PM, Curtin HD. Head and Neck Imaging. 4th ed. St. Louis, MO: Mosby; 2003: 1828-1864
• 8 Hunter TB, Paplanus SH, Chernin MM, Coulthard SW. Dermoid cyst of the floor of the mouth: CT appearance. Am J Roentgenol 1983; 141 (6) 1239-1240
• 9 Worley CM, Laskin DM. Coincidental sublingual and submental epidermoid cysts. J Oral Maxillofac Surg 1993; 51 (7) 787-790
• 10 Tham YS, Low WK. First branchial cleft anomalies have relevance in otology and more. Ann Acad Med Singapore 2005; 34 (4) 335-338
• 11 D'Souza AR, Uppal HS, De R, Zeitoun H. Updating concepts of first branchial cleft defects: a literature review. Int J Pediatr Otorhinolaryngol 2002; 62 (2) 103-109
• 12 Ford GR, Balakrishnan A, Evans JNG, Bailey CM. Branchial cleft and pouch anomalies. J Laryngol Otol 1992; 106 (2) 137-143
• 13 Benson MT, Dalen K, Mancuso AA, Kerr HH, Cacciarelli AA, Mafee MF. Congenital anomalies of the branchial apparatus: embryology and pathologic anatomy. Radiographics 1992; 12 (5) 943-960
• 14 Telander RL, Deane SA. Thyroglossal and branchial cleft cysts and sinuses. Surg Clin North Am 1977; 57 (4) 779-791
• 15 Koeller KK, Alamo L, Adair CF, Smirniotopoulos JG. Congenital cystic masses of the neck: radiologic-pathologic correlation. Radiographics 1999; 19 (1) 121-146 , quiz 152–153
• 16 Stokroos RJ, Manni JJ. The double auditory meatus—a rare first branchial cleft anomaly: clinical presentation and treatment. Am J Otol 2000; 21 (6) 837-841
• 17 Work WP. Newer concepts of first branchial cleft defects. Laryngoscope 1972; 82 (9) 1581-1593
• 18 Vogl T. Hypopharynx, larynx, thyroid, and parathyroid. In: Stark D, Bradley W, eds. Magnetic Resonance Imaging. 2nd ed. St. Louis, MO: Mosby; 1992: 1184-1243
• 19 Telander RL, Filston HC. Review of head and neck lesions in infancy and childhood. Surg Clin North Am 1992; 72 (6) 1429-1447
• 20 Som PM, Sacher M, Lanzieri CF , et al. Parenchymal cysts of the lower neck. Radiology 1985; 157 (2) 399-406
• 21 Michael AS, Mafee MF, Valvassori GE, Tan WS. Dynamic computed tomography of the head and neck: differential diagnostic value. Radiology 1985; 154 (2) 413-419
• 22 Miller MB, Rao VM, Tom BM. Cystic masses of the head and neck: pitfalls in CT and MR interpretation. Am J Roentgenol 1992; 159 (3) 601-607
• 23 Harnsberger HR, Mancuso AA, Muraki AS , et al. Branchial cleft anomalies and their mimics: computed tomographic evaluation. Radiology 1984; 152 (3) 739-748
• 24 Som P. Cystic lesions of the neck. Postgrad Radiol 1987; 7: 211-236
• 25 Faerber EN, Swartz JD. Imaging of neck masses in infants and children. Crit Rev Diagn Imaging 1991; 31 (3–4) 283-314
• 26 Harnsberger H. Handbook of Head and Neck Imaging. 2nd ed. St. Louis, MO: Mosby; 1995
• 27 Parker GD, Harnsberger HR, Smoker WR. The anterior and posterior cervical spaces. Semin US CT MR 1991; 12 (3) 257-273
• 28 Cote DN, Gianoli GJ. Fourth branchial cleft cysts. Otolaryngol Head Neck Surg 1996; 114 (1) 95-97
• 29 Mulliken JB, Glowacki J. Hemangiomas and vascular malformation in infants and children: a classification based on endothelial characteristics. Past Reconstr Surg 1982; 69 (3) 412-422
• 30 Watson W, McCarthy W. Blood and lymphatic vessel tumors: report of 1056 cases. Surg Gynecol Obstet 1940; 71: 569-588
• 31 Bowers R, Graham E, Tominson K. The natural history of the strawberry nevus. Arch Dermatol 1960; 82: 667-673
• 32 Kaban LB, Mulliken JB. Vascular anomalies of the maxillofacial region. J Oral Maxillofac Surg 1986; 44 (3) 203-213
• 33 Baker LL, Dillon WP, Hieshima GB, Dowd CF, Frieden IJ. Hemangiomas and vascular malformations of the head and neck: MR characterization. Am J Neuroradiol 1993; 14 (2) 307-314
• 34 Burrows PE, Mulliken JB, Fellows KE, Strand RD. Childhood hemangiomas and vascular malformations: angiographic differentiation. Am J Roentgenol 1983; 141 (3) 483-488
• 35 Meyer JS, Hoffer FA, Barnes PD, Mulliken JB. Biological classification of soft-tissue vascular anomalies: MR correlation. Am J Roentgenol 1991; 157 (3) 559-564
• 36 Mulliken J, Young AE. Classification of vascular birthmarks. In: Mulliken J, ed. Hemangiomas and vascular malformation. Philadelphia, PA: WB Saunders; 1988: 24-37
• 37 Scott JE. Haemangiomata in skeletal muscle. Br J Surg 1957; 44 (187) 496-501
• 38 Elahi MM, Parnes L, Fox A. Hemangioma of the masseter muscle. J Otolaryngol 1992; 21 (3) 177-179