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Neck Masses And Congenital Diseases Of The Larynx


Lateral Neck Masses

 Branchial anomalies
 They may be called branchial cysts or branchial sinuses according to their contents.
 They consist of 6 types according to where they originate. The most common is the second branchial cyst. 2. Branchial cysts appear as a cyst deep in the SCM muscle on the neck side.
laryngocele
They are air-filled spaces arising from the sacculus of the ventricle due to increased intralarynx pressure. One that goes into the larynx is called an internal laryngocele. If it protrudes from the thyrohyoid membrane, it is called an external laryngocele.
It is a lateral line lesion of the neck.
Thymic cyst:
" In the embryological period, the thymus migrates downwards from the lateral neck line and descends to the mediastinum. During this descent, the remaining thymic tissue is seen as a lateral neck mass.
Infant's pseudotumor (pseudotumor of infancy):
It is also known as infant SCM tumor or fibromatosis coli. spontaneous
becomes regressed. Up to 20% may progress to torticollis. 
Lateral neck masses
Branchial anomalies
laryngocele
thymic cyst
pseudotumor infancy
midline masses
Thyroglossal duct cyst (most common)
dermoid cyst
Plungin ranula
teratoma
whole neck masses
hemangioma
Lymph angioma (cystic hygroma)

Midline Neck Masses

Thyroglossal duct cyst
It is the remnant of the thyroid tissue that remains when migrating downwards from the tongue root in the embryological period. It appears as a cystic midline mass along this pathway. It is the most common congenital neck mass.
Dermoid cyst
They are benign teratomas.
plunging ranula
Retention of the sublingual gland is called ranula. Ranula is seen on the floor of the mouth. It occurs as the lesion progresses to the neck.
Neck teratomas

Middle and Laterally Located Masses

Lymphangioma (cystic hygroma)
It is seen as a light-transmitting mass on the neck. It has a soft consistency. When aspirated with a needle, there is a sticky liquid.
Hemangioma

Congenital diseases of the larynx

Laryngocele
A mass that moves with a cough and is manifested by valsalva
It often occurs in users of wind instruments that raise pressure within the larynx.
laryngomalacia
There is an inspiratory stridor and a pull over the sternum
Many cases improve before the age of two
It is the most common congenital anomaly of the larynx
It is the most common cause of laryngeal dyspnea in infants
It is the most common cause of inspiratory stridor in infants
Vocal cord paralysis
After laryngomalacia, the most common cause of stridor is vocal cord paralysis
Laryngeal fibrous hemangioma
It is a condition that appears in childhood, can bleed quickly, and should be considered especially during intubation

Pierre Robin syndrome

Trinity
  Cleft palate, small jaw, and retracted tongue
  The soft palate does not close tightly to the back of the throat, causing air to pass out of the nose and to make a lot of noise in the nasal cavity (nose breathing) in cleft palate patients.

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