Özet:

Objective: Congenital cysts and fistulas of the neck are the most common non-inflammatory neck masses and classified as lateral , midline or entire neck masser. We reviewed the clinical signs and treatment of the congenital neck mass in children evaluated in our department. Material and Method: Hospital records of 63 patents admitted to our department between 1998 and 2008 with congenital cysts and fistulas of the neck were reviewed retrospectively, in terms of patient demographics, signs and symptoms, treatment modalities and therapy results. Results: Of the children, 38 were boys and 25 were girls. The mean age of children was 5.3 years (range; 0 day-14 years). Cases were classified as having 43 (% 68) midline and 20 (%32) lateral neck masses. The most frequent mass was thyroglossal duct cyst (n=19, %30), followed by fistula of the second branchial arch anomalies (n=14, %22). The majority of lesions presented with painless neck swelling, and in the most of cases, treatment consisted of complete excision. Conclusions: Thyroglossal duct cyst (fistulas) and second branchial arch anomalies were the most common congenital mass lesions located on the neck area in children. Understanding relevant embryology and pathophysiology and appropriate diagnostic modalities of these lesions is necessary for successful management

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