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Surgical management of parapharyngeal cystic hygroma causing sudden airway obstruction

✍ Scribed by Hamoir, Marc ;Remacle, Marc ;Youssif, Anis ;Moulin, Didier ;Francois, Geneviègve ;Claus, Dominique ;Kahn, Andréa ;Frederickx, Yolande


Publisher
Wiley (John Wiley & Sons)
Year
1988
Weight
346 KB
Volume
10
Category
Article
ISSN
0148-6403

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✦ Synopsis


Parapharyngeal cystic hygroma is a rare tumor of the neck. This repoti describes two cases in which surgical resection was necessary to overcome sudden airway obstruction and details the surgical technique. These cases were considered "near misses" for sudden infant death syndrome (SIDS) and were revealed by computed tomography (CT) and echography to be parapharyngeal cystic hygroma. The location of this malformation could have produced sudden airway collapse and be erroneously diagnosed as SIDS. The postoperative follow-up was satisfactory and no recurrence was detected. We believe CT and echography should be included in the evaluation of such cases. HEAD & NECK SURGERY 10:406410,1988

Cystic hygroma is an uncommon and benign developmental tumor consisting of a multilocular cystic mass with individual cysts that vary from 1 mm to 5 cm or more in diameter.' Local swelling is usually noted early in life. Sixty percent