Pediatric Surgery: Other Head & Neck Pathology

Lymphadenopathy

• FNA if Fluctuant
• Excisional Biopsy if No Improvement with Antibiotics (Lymphoma Concern)

Cystic Hygroma (Lymphangioma)

• Congenital Communication Defects Between Lymphatics & Internal Jugular Vein
• Most Common Locations:
  • Posterior Neck (Most Common) – Lateral to SCM
  • Axilla (Second Most Common)
• Presentation: Soft Multiloculated Cysts (Often in Clusters)
  • Transilluminates
• Nonmalignant
• Associated with Down Syndrome & Turner Syndrome
• Treatment: Resection

Dermoid Cyst

• Lined by Squamous Epithelium with Sebaceous Debris
• Often Difficult to Distinguish from a Branchial Cleft Cyst if on Neck
• Treatment: Excision

Cleft Lip/Palate

• *See Otolaryngology: Oral Clefting