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AJP Rep 2015; 05(02): e207-e211
DOI: 10.1055/s-0035-1563388
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Neonatal Presentation of an Air-Filled Neck Mass that Enlarges with Valsalva: A Case Report

Jasminkumar Bharatbhai Patel
1   Division of Neonatology, Children's Mercy Hospital, University of Missouri-Kansas City School of Medicine, Kansas City, Missouri
,
Howard Kilbride
1   Division of Neonatology, Children's Mercy Hospital, University of Missouri-Kansas City School of Medicine, Kansas City, Missouri
,
Lorien Paulson
2   Division of Pediatric Otolaryngology-Head and Neck Surgery, Children's Mercy Hospital, University of Missouri-Kansas City School of Medicine, Kansas City, Missouri
› Author Affiliations
Further Information

Publication History

01 April 2015

29 June 2015

Publication Date:
07 September 2015 (online)

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Abstract

Branchial cleft cysts are common causes of congenital neck masses in the pediatric population. However, neonatal presentation of branchial cleft cysts is uncommon, but recognizable secondary to acute respiratory distress from airway compression or complications secondary to infection. We report a 1-day-old infant presenting with an air-filled neck mass that enlarged with Valsalva and was not associated with respiratory distress. The infant was found to have a third branchial cleft cyst with an internal opening into the pyriform sinus. The cyst was conservatively managed with endoscopic surgical decompression and cauterization of the tract and opening. We review the embryology of branchial cleft cysts and current management.

Keywords

branchial cleft cyst - neonate - air-filled neck mass
 

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