Surgical management of a midline submental neck mass in Zimbabwe: A case report
Introduction: Differential diagnoses of a pediatric neck mass are extensive, ranging across benign, malignant, congenital and infectious causes. Limited access to imaging in low-resource settings increases the complexity of narrowing this list to appropriately diagnose and treat neck masses. This oc...
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AOSIS
2024-05-01
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| Series: | Journal of the Colleges of Medicine of South Africa |
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| Online Access: | https://jcmsa.org.za/index.php/jcmsa/article/view/20 |
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| author | Dontre’ Douse Katerina Green Chengetai Dziwa Munyaradzi Katiro Tafadzwa Nyamurowa Farai Ethel Chikomba Titus Dzongodza Joshua Wiedermann |
| author_facet | Dontre’ Douse Katerina Green Chengetai Dziwa Munyaradzi Katiro Tafadzwa Nyamurowa Farai Ethel Chikomba Titus Dzongodza Joshua Wiedermann |
| author_sort | Dontre’ Douse |
| collection | DOAJ |
| description | Introduction: Differential diagnoses of a pediatric neck mass are extensive, ranging across benign, malignant, congenital and infectious causes. Limited access to imaging in low-resource settings increases the complexity of narrowing this list to appropriately diagnose and treat neck masses. This occasionally allows neck masses to grow unchecked, increasing the morbidity of their presence and eventual excision. The goal of this report is to describe nuances in the diagnosis and treatment of pediatric neck masses in resource-limited settings through a case report of a neck mass in a pediatric patient.
Patient presentation: A 10-year-old girl in Harare, Zimbabwe, presented for surgical management of a midline neck mass that appeared 4 years prior to presentation for definitive treatment. A myriad of barriers delayed her care, allowing the mass to grow into her floor of mouth, displacing her tongue and leading to speech and feeding difficulties.
Management and outcome: At presentation to the tertiary care facility, she received a pre-operative ultrasound showing a well-circumscribed, echogenic mass. Her neck mass was surgically excised through a transoral approach. Permanent pathology was consistent with a dermoid cyst.
Conclusion: At 1-month postoperative follow-up, the patient had experienced no complications and had a complete resolution of her functional symptoms and appearance.
Contribution: We present a case that can illuminate the utility of ultrasound in the diagnosis of pediatric neck masses. Additionally, we facilitate an important discussion on transoral versus transcervical approach for midline neck masses with the decision hinging on size, location, surgeon preference and comfort and consideration of cosmesis. |
| format | Article |
| id | doaj-art-39341443fffa4e7cbb4546317cb2b778 |
| institution | OA Journals |
| issn | 2960-110X |
| language | English |
| publishDate | 2024-05-01 |
| publisher | AOSIS |
| record_format | Article |
| series | Journal of the Colleges of Medicine of South Africa |
| spelling | doaj-art-39341443fffa4e7cbb4546317cb2b7782025-08-20T02:02:15ZengAOSISJournal of the Colleges of Medicine of South Africa2960-110X2024-05-0121e1e410.4102/jcmsa.v2i1.2015Surgical management of a midline submental neck mass in Zimbabwe: A case reportDontre’ Douse0Katerina Green1Chengetai Dziwa2Munyaradzi Katiro3Tafadzwa Nyamurowa4Farai Ethel Chikomba5Titus Dzongodza6Joshua Wiedermann7Department of Otolaryngology-Head and Neck Surgery, Mayo Clinic, Rochester, United States of AmericaDepartment of Otolaryngology-Head and Neck Surgery, Mayo Clinic, Jacksonville, United States of AmericaDepartment of Otolaryngology-Head and Neck Surgery, University of Zimbabwe, HarareDepartment of Otolaryngology-Head and Neck Surgery, University of Zimbabwe, HarareDepartment of Otolaryngology-Head and Neck Surgery, University of Zimbabwe, HarareDepartment of Otolaryngology-Head and Neck Surgery, University of Zimbabwe, HarareDepartment of Otolaryngology-Head and Neck Surgery, University of Zimbabwe, HarareDepartment of Otolaryngology-Head and Neck Surgery, Mayo Clinic, Rochester, United States of AmericaIntroduction: Differential diagnoses of a pediatric neck mass are extensive, ranging across benign, malignant, congenital and infectious causes. Limited access to imaging in low-resource settings increases the complexity of narrowing this list to appropriately diagnose and treat neck masses. This occasionally allows neck masses to grow unchecked, increasing the morbidity of their presence and eventual excision. The goal of this report is to describe nuances in the diagnosis and treatment of pediatric neck masses in resource-limited settings through a case report of a neck mass in a pediatric patient. Patient presentation: A 10-year-old girl in Harare, Zimbabwe, presented for surgical management of a midline neck mass that appeared 4 years prior to presentation for definitive treatment. A myriad of barriers delayed her care, allowing the mass to grow into her floor of mouth, displacing her tongue and leading to speech and feeding difficulties. Management and outcome: At presentation to the tertiary care facility, she received a pre-operative ultrasound showing a well-circumscribed, echogenic mass. Her neck mass was surgically excised through a transoral approach. Permanent pathology was consistent with a dermoid cyst. Conclusion: At 1-month postoperative follow-up, the patient had experienced no complications and had a complete resolution of her functional symptoms and appearance. Contribution: We present a case that can illuminate the utility of ultrasound in the diagnosis of pediatric neck masses. Additionally, we facilitate an important discussion on transoral versus transcervical approach for midline neck masses with the decision hinging on size, location, surgeon preference and comfort and consideration of cosmesis.https://jcmsa.org.za/index.php/jcmsa/article/view/20dermoidmidline neck massneck masspediatric neck masscongenital neck mass |
| spellingShingle | Dontre’ Douse Katerina Green Chengetai Dziwa Munyaradzi Katiro Tafadzwa Nyamurowa Farai Ethel Chikomba Titus Dzongodza Joshua Wiedermann Surgical management of a midline submental neck mass in Zimbabwe: A case report Journal of the Colleges of Medicine of South Africa dermoid midline neck mass neck mass pediatric neck mass congenital neck mass |
| title | Surgical management of a midline submental neck mass in Zimbabwe: A case report |
| title_full | Surgical management of a midline submental neck mass in Zimbabwe: A case report |
| title_fullStr | Surgical management of a midline submental neck mass in Zimbabwe: A case report |
| title_full_unstemmed | Surgical management of a midline submental neck mass in Zimbabwe: A case report |
| title_short | Surgical management of a midline submental neck mass in Zimbabwe: A case report |
| title_sort | surgical management of a midline submental neck mass in zimbabwe a case report |
| topic | dermoid midline neck mass neck mass pediatric neck mass congenital neck mass |
| url | https://jcmsa.org.za/index.php/jcmsa/article/view/20 |
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