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Foregut duplication cyst of the pharynx

Published online by Cambridge University Press:  18 December 2007

L Fraser ,
A G Howatson  and
F B MacGregor
L Fraser*
Affiliation:
Department of Otolaryngology Head & Neck Surgery, Glasgow, Scotland, UK
A G Howatson
Affiliation:
Department of Pathology, Royal Hospital for Sick Children, Glasgow, Scotland, UK
F B MacGregor
Affiliation:
Department of Otolaryngology Head & Neck Surgery, Glasgow, Scotland, UK
*
Address for correspondence: Miss Lyndsay Fraser, Department of Otolaryngology Head & Neck Surgery, Royal Hospital for Sick Children, Dalnair Street, Glasgow G3 8SJ, Scotland, UK. Fax: (0141) 201 0865 E-mail: [email protected]
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Abstract

Introduction:

Foregut duplication cysts are heterotrophic rests of foregut-derived epithelium which are usually found in the abdomen and thorax; rarely are they found in the head and neck.

Case report:

We describe the case of a pharyngeal foregut duplication cyst presenting with airway obstruction in a neonate. We also review the pathology, investigation and management of this rare condition.

Discussion:

The occurrence of a foregut duplication cyst in the head and neck region mandates vigilance with respect to the airway. Magnetic resonance imaging is a useful part of pre-operative evaluation but cannot be relied upon for definitive diagnosis. Although foregut duplication cysts are benign lesions, definitive cure ultimately requires surgical excision, and this is often the means by which a definitive diagnosis is made. The prognosis for these lesions is excellent, with no reports in the literature of recurrence following excision.

Keywords

Congenital DefectsCystPharynxAirway Obstruction
Type
Clinical Record
Information
The Journal of Laryngology & Otology , Volume 122 , Issue 7 , July 2008 , pp. 754 - 756
Copyright
Copyright © JLO (1984) Limited 2008

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References

1 Qi, BQ, Beasley, SW, Williams, AK. Evidence of a common pathogenesis of foregut duplications and esophageal atresia with tracheo-esophageal fistula. Anat Rec 2001;264:93–100CrossRefGoogle ScholarPubMed
2 Azzie, G, Beasley, S. Diagnosis and treatment of foregut duplications. Semin Pediatr Surg 2003;12:46–54CrossRefGoogle ScholarPubMed
3 Edwards, J, Pearson, S, Zalzal, G. Foregut duplication cyst of the hypopharynx. Arch Otolaryngol Head Neck Surg 2005;131:1112–15CrossRefGoogle ScholarPubMed
4 Frenkiel, S, Remsen, KA. Foregut duplication arising from the pharynx. J Otolaryngol 1990;19:279–81Google ScholarPubMed
5 Rickham, PP, Lister, J, Irving, IM, eds. Neonatal Surgery. London: Butterworths, 1978Google Scholar
6 Gorlin, RJ, Jirasek, JE. Oral cysts containing gastric or intestinal mucosa: an unusual embryological accident or heterotopia. Arch Otolaryngol 1970;91:594–7CrossRefGoogle ScholarPubMed
7 Eaton, D, Billings, K, Timmons, C, Booth, T, Biavati, JM. Congenital foregut duplication cysts of the anterior tongue. Arch Otolaryngol Head Neck Surg 2001;127:1484–7CrossRefGoogle ScholarPubMed
8 Veeneklaas, GMH. Pathogenesis of intrathoracic gastrogenic cysts. Am J Dis Child 1952;83:500–7Google ScholarPubMed
9 Velchek, FT, Klotz, DH, Hill, CH. Tongue lesions in children. J Paediatr Surg 1979;14:238–45CrossRefGoogle Scholar
10 Chen, MK, Gross, E, Lobe, TE. Perinatal management of enteric duplication cyst of the tongue. Am J Perinatol 1997;14:161–3CrossRefGoogle ScholarPubMed