Paeds: ENT Flashcards

1
Q

Cystic Hygroma

what is it

A

a malformation of the lymphatic system that results in a cyst filled with lymphatic fluid.

most commonly a congenital abnormality

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2
Q

Cystic Hygroma

where is it typically located

A

in the posterior triangle of the neck on the left side.

in the neck or armpit

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3
Q

Cystic Hygroma

when may it be seen

A
  • on antenatal scans
  • picked up on routine baby checks
  • discovered later when noticed incidentally
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4
Q

Cystic Hygroma

key features of lump

A
  • can be v large
  • soft
  • non-tender
  • transilluminates
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5
Q

Cystic Hygroma

complications

A
  • interfere with feeding, swallowing or breathing
    infected: hot, red, tender
  • haemorrhage into cyst
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6
Q

Cystic Hygroma

mnx

A
  • watch + wait as it’s benign
  • aspiration (temporary improvement)
  • surgical removal
  • sclerotherapy
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