© Borgis - New Medicine 4/2011, s. 128-129
*Lechosław P. Chmielik1, Marcin Rawicz2, Jadwiga Małdyk3, Michał Brzewski4, Jolanta Jadczyszyn1, Jarosław Wysocki5
A dermoidal cyst in the nasopharynx of a newborn
1Department of Pediatric Otolaryngology, Medical University of Warsaw, Poland
Head of Department: Prof. Mieczysław Chmielik, MD, PhD
2Department of Pediatric Anesthesiology and Intensive Care, Medical University of Warsaw, Poland
Head of Department: Prof. Bogumiła Wołoszczuk-Gębicka, MD, PhD
3Department of Pathology, Children’s Hospital of the Medical University of Warsaw, Poland
Head of Department: Prof. Aleksander Wasiutyński, MD
4Department of Pediatric Radiology, Medical University of Warsaw, Poland
Head of Department: Michał Brzewski, MD
5Clinic of Otolaryngology and Rehabilitation 2nd Medical Faculty, Medical University of Warsaw, Poland
Head of Clinic: Prof. Jarosław Wysocki, MD, PhD
Summary
Introduction. Dermoidal cysts, arising from the developing ectoderm¸ can be sometime found within head and neck region. Nasopharyngeal localization that can obstruct the airway and create life-threatening situation may occur in 7% of all cases (10, 14). They should be excised as soon as possible, since sudden apnoeic cardiac arrest may occur.
Case report.
We describe a case of a three-week-old infant in whom dermoidal cyst caused almost complete obstruction of the airway. The cyst was excised after tracheostomy and child made uneventful recovery.
Conclusions. An impaired nasopharyngeal patency in newborns should be regarded as a life threatening disorder. In selected cases, dermoid cysts can be responsible for impaired choanal patency and then they should be radically removed
INTRODUCTION
Dermoidal cysts are congenital malformations, originating from abnormal formation of the ectodermal tissues. Various layers of the skin can be found within connective tissue, ovaries, or the central nervous system (2, 5, 7, 9). Localisations within head and neck region are rare (14); tumours can be found in the nasal and/or oral cavity, orbital and salivary glands, in 60% jointly with facial cysts (1, 3, 6, 10, 11, 13, 16). Dermoids, localized in the nasopharyngeal cavity, albeit very rare in infancy (only few cases have been described), may seriously obstruct the airway, leading to sudden asphyxia and cardiac arrest (4, 15).
CASE REPORT
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Piśmiennictwo
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