Cyst neck - a hollow tumor formation, which is located on the side or front of the neck. It has a content in the form of liquid or slurry. There may be complications - malignant degeneration, abscess or fistula occurrence. Suppurating cyst neck in 50% of cases and fistula may form after draining the cyst neck through the skin.
Types and causes of neck cysts
Cysts of the neck are medial and lateral.
Median cyst of the neck can sometimes be asymptomatic, they often find the ages of 4 and 7 years old, or 10 to 14 years. Median neck cyst formed by the movement of the thyroid gland rudiment of thyroglossal duct from the place of its formation to the front of the neck. This occurs at 6-7 weeks of pregnancy.
Lateral neck cysts usually identify with the birth of the child. They represent the cavity between gill furrows, which in normal development should disappear. Formation of lateral neck cysts occur 4-6 weeks of pregnancy due to congenital malformations gill furrows.
Median cyst neck
Median neck cysts are painless, firm, elastic, not soldered to the skin with the formation of sharp edges, having a diameter of about two centimeters. Located along the midline on the front surface of the neck and are about 40% of cysts neck. Median cyst of the neck tend to move during swallowing, soldered to the hyoid bone and a little mobile. Sometimes it can be positioned in lingual root. In such cases, the language of slightly elevated, often develop swallowing difficulties and speech.
Median cyst neck abscess often (in 60% of cases). If you get an infection increase in size and become painful. Nearby tissues redden and swell.
Median neck cyst diagnosed by ultrasound and puncture the cyst neck with further cytological research. During puncture formed viscous cloudy yellow liquid, which contains elements of lymphoid cells and flat multilayered epithelium. Diagnosis is based on clinical data and medical history. Fistulous passages examined by sensing and fistulography.
Median cyst of the neck have similarities with the language of the Struma, dermoid cysts, lymphadenitis, specific inflammation and abnormally located adenomas of the thyroid gland.
Lateral neck cysts are on the anterior side of the neck, in her middle or upper third. Localization lateral neck cysts - close to the internal jugular vein directly to the neurovascular bundle. Lateral neck cysts can be both single and multi-chamber. In cases where they have a large size, can be squeezed nerves, blood vessels, and nearby organs.
If there is no compression of the neurovascular bundle, or pus, lateral neck cysts are not painful. Is an oval or rounded tumor formation, which is easy to spot while rotating the patient's head in the opposite direction. On palpation there are painful. Above the side of the neck skin cysts usually is not changed, and cysts themselves are mobile, flexible and are not soldered to the skin.
When festering lateral neck cysts, they increase in size and become painful. The skin over them blush, and later the fistula is formed.
Diagnose lateral neck cyst by puncture with cytology resulting liquid, ultrasound sensing and fistulography with radiopaque substance. Diagnosis is based on clinical picture of the disease and the history.
Uninfected lateral neck cysts similar to vneorgannymi neck tumors (lipomas, neuromas) and Hodgkin's disease. Fester - and with lymphadenitis phlegmonous adenitis.
Treatment of cysts of the neck
Treatment of neck cysts exclusively operative. Operations on the brush neck shown in all lateral cysts neck, as well as medial neck cysts in children of any size and diameter of more than one centimeter in adults. Cyst neck surgery is performed under intravenous anesthesia, it is removed together with the capsule in order to prevent recurrences. During surgery on the cyst neck surgeon first incision over the cyst, then it allocates and removes the cyst with shells. When you delete a median cyst removed as part of the hyoid bone, as it passes through the cord from the cyst. Operations on the side of the neck cysts are more severe because of the nearby nerves and blood vessels.
In elderly patients with the presence of concomitant severe disease may hold the contents of the cyst aspiration with subsequent washing of the neck cavity cysts antiseptics. In other cases, this method is not used, as it is not efficient enough and has a high risk of relapse.
Due to the minimal tissue trauma during surgery cysts of the neck, the use of modern technology and the imposition of internal seams cosmetic patients in the shortest time return to normal life.