Main features and treatments of cervical cysts in children from a single-center experience
Abstract Background The cervical cysts is one of the most common children ailments an ENT surgeon encountered, which often begins with painless masses in the neck. The present study summarizes main clinical features of various types of children cervical cysts and discusses the possible approaches an...
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BMC
2025-02-01
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| Series: | BMC Surgery |
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| Online Access: | https://doi.org/10.1186/s12893-025-02791-2 |
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| author | Nian Sun Wei Pang Xuexi Zhang Yanzhen Li Qiaoyin Liu Zhiyong Liu Xiaodan Li Junlong Tan Shengcai Wang Xin Ni |
| author_facet | Nian Sun Wei Pang Xuexi Zhang Yanzhen Li Qiaoyin Liu Zhiyong Liu Xiaodan Li Junlong Tan Shengcai Wang Xin Ni |
| author_sort | Nian Sun |
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| description | Abstract Background The cervical cysts is one of the most common children ailments an ENT surgeon encountered, which often begins with painless masses in the neck. The present study summarizes main clinical features of various types of children cervical cysts and discusses the possible approaches and associated complications, with an aim to improve the diagnosis and treatment of this pediatric disease. Methods We retrospectively analyzed the clinical data of patients admitted with cervical cyst to Beijing Children’s Hospital, Capital Medical University from January 2018 to December 2023. Analysis focused on the clinical presentation, medical imaging, surgical approach, treatment-related complications as well as disease recurrence. Results The main self-reported symptom at first admission was painless masses at neck and submandibular space accompanied by sleep apnea, laryngeal stridor, odynophagia or hoarse voice. Three hundred and eighty-four patients received cervical ultrasound examination, whereas 92 patients were subjected to cervical MRI. The median of cysts size recorded by medical imaging was 1.7 cm*1.0 cm*1.6 cm. The median operation duration was 55 min. Histology of removed cysts indicated five main pathological categories including thyroglossal duct cyst (TGDC), branchial cleft cyst (BCC), dermoid cyst (DC), lymphatic malformation (LM) and bronchogenic cyst (BC). The most frequent postsurgical complication was dysphagia and inflammatory wound swelling. Seven patients inflicted with relapses before further treatment. Conclusions Comprehensive evaluation including medical history, physical examination, ultrasound and MRI imaging of cervical spaces is required to assure the proper diagnosis of cervical cysts in children. Surgical removal remains the major modality for disease control. Majority of postsurgical complications are attributed to transitional injury of blood vessels or nerves. Recurrence of cysts is commonly associated with patients with TGDC and LM. |
| format | Article |
| id | doaj-art-904320931b5b4c7fbef79da2c653590a |
| institution | OA Journals |
| issn | 1471-2482 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Surgery |
| spelling | doaj-art-904320931b5b4c7fbef79da2c653590a2025-08-20T02:16:34ZengBMCBMC Surgery1471-24822025-02-012511810.1186/s12893-025-02791-2Main features and treatments of cervical cysts in children from a single-center experienceNian Sun0Wei Pang1Xuexi Zhang2Yanzhen Li3Qiaoyin Liu4Zhiyong Liu5Xiaodan Li6Junlong Tan7Shengcai Wang8Xin Ni9Department of Otolaryngology-Head and Neck Surgery, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s HealthDepartment of Otolaryngology-Head and Neck Surgery, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s HealthDepartment of Otolaryngology-Head and Neck Surgery, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s HealthDepartment of Otolaryngology-Head and Neck Surgery, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s HealthDepartment of Otolaryngology-Head and Neck Surgery, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s HealthDepartment of Otolaryngology-Head and Neck Surgery, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s HealthDepartment of Otolaryngology-Head and Neck Surgery, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s HealthDepartment of Otolaryngology-Head and Neck Surgery, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s HealthDepartment of Otolaryngology-Head and Neck Surgery, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s HealthDepartment of Otolaryngology-Head and Neck Surgery, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s HealthAbstract Background The cervical cysts is one of the most common children ailments an ENT surgeon encountered, which often begins with painless masses in the neck. The present study summarizes main clinical features of various types of children cervical cysts and discusses the possible approaches and associated complications, with an aim to improve the diagnosis and treatment of this pediatric disease. Methods We retrospectively analyzed the clinical data of patients admitted with cervical cyst to Beijing Children’s Hospital, Capital Medical University from January 2018 to December 2023. Analysis focused on the clinical presentation, medical imaging, surgical approach, treatment-related complications as well as disease recurrence. Results The main self-reported symptom at first admission was painless masses at neck and submandibular space accompanied by sleep apnea, laryngeal stridor, odynophagia or hoarse voice. Three hundred and eighty-four patients received cervical ultrasound examination, whereas 92 patients were subjected to cervical MRI. The median of cysts size recorded by medical imaging was 1.7 cm*1.0 cm*1.6 cm. The median operation duration was 55 min. Histology of removed cysts indicated five main pathological categories including thyroglossal duct cyst (TGDC), branchial cleft cyst (BCC), dermoid cyst (DC), lymphatic malformation (LM) and bronchogenic cyst (BC). The most frequent postsurgical complication was dysphagia and inflammatory wound swelling. Seven patients inflicted with relapses before further treatment. Conclusions Comprehensive evaluation including medical history, physical examination, ultrasound and MRI imaging of cervical spaces is required to assure the proper diagnosis of cervical cysts in children. Surgical removal remains the major modality for disease control. Majority of postsurgical complications are attributed to transitional injury of blood vessels or nerves. Recurrence of cysts is commonly associated with patients with TGDC and LM.https://doi.org/10.1186/s12893-025-02791-2PediatricCervical cystsSurgery |
| spellingShingle | Nian Sun Wei Pang Xuexi Zhang Yanzhen Li Qiaoyin Liu Zhiyong Liu Xiaodan Li Junlong Tan Shengcai Wang Xin Ni Main features and treatments of cervical cysts in children from a single-center experience BMC Surgery Pediatric Cervical cysts Surgery |
| title | Main features and treatments of cervical cysts in children from a single-center experience |
| title_full | Main features and treatments of cervical cysts in children from a single-center experience |
| title_fullStr | Main features and treatments of cervical cysts in children from a single-center experience |
| title_full_unstemmed | Main features and treatments of cervical cysts in children from a single-center experience |
| title_short | Main features and treatments of cervical cysts in children from a single-center experience |
| title_sort | main features and treatments of cervical cysts in children from a single center experience |
| topic | Pediatric Cervical cysts Surgery |
| url | https://doi.org/10.1186/s12893-025-02791-2 |
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