[Pediatric] Atlas of congenital anomalies of the head and neck

Atlas of congenital anomalies of the head and neck, congenital anomalies of the head and neck, Pediatric, ATLAS IN MEDICAL, TUYENLAB.NET

Fig 1A.  Treacher Collins syndrome in an infant with severe manifestations, as seen on lateral (A) and frontal (B) views. Note the microtia (underdeveloped pinna) and aural atresia.
Severe maxillary and zygomatic hypoplasia leads to downsloping lateral canthi.
This infant also has a facial pit and cleft palate.

Fig 1B. Treacher Collins syndrome in an infant with severe manifestations, as seen on lateral (A) and frontal (B) views. Note the microtia (underdeveloped pinna) and aural atresia. 

Severe maxillary and zygomatic hypoplasia leads to downsloping lateral canthi.
This infant also has a facial pit and cleft palate.

Fig 2. Pyriform Aperture Stenosis seen on axial (A), and coronal (B) CT scan in a 2-week-old infrant who presented with neonatal respiratory  distress and feeding dif culty. A solitary central maxillary incisor seen on axial CT (C).

 

Fig 3. Left unilateral choanal atresia seen on endoscopy (A, B). Note inferior turbinate laterally (A). The right side is unaffected (C) with a patent choanal opening seen
behind the turbinate.

Fig 4. Predominantly nasal dermoid in an infant causing
unilateral nasal obstruction. No intracranial extension was noted.
Note the small dimple on nasal tip.

Fig 5. Microtia (underdeveloped pinna) in a child. 

Fig 6. Prominent, protruding ears (A) in a child presenting for elective bilateral otoplasty (B). Protrusion typically results from absence of antihelical fold and excessive conchal bowl cartilage. Otoplasty involves intraoperative creation of an antihelical fold, to
be secured with sutures.

Fig 7. 3 week old infrant with severe micrognathia and upper airway obstruction, prior to mandibular distraction, on preoperative, pro le view (A) and on CT scan with 3D reconstruction (B).

Fig 8. Micrognathia in an infant, which ultimately required
mandibular distraction for persistent respiratory distress and poor
growth.

Fig 9. Ankyloglossia in an 8 year-old boy with speech articulation disoder and membranous ankyloglossia, preoperatively ( A). Patient was unable to pass tongue tip beyond mandibular teeth. Note the extent of the release after frenuloplasty (B). Patient is also able
to now protrude tongue tip well past mandibular teeth.

Fig 10. Congenital epulis (benign tumor on the gingival or
alveolar mucosa) arising from maxillary alveolar ridge in a newborn, on
lateral (A) and primarily frontal (B) views. 

Fig 11. Oral dermoid cyst in a 2-year-old child being surgically
excised from the oor of the mouth.

Fig 12. Naso-oropharyngeal soft tissue stenosis in a young
child with Mobius syndrome. Endoscopic view with exible scope
shows narrowed caliber, normal larynx in the distance.

Fig 13. Pharyngeal aplasia with (A) and without (B) a stent in place. There was no oropharyngeal opening until created surgically. Oropharyngeal stent in place through surgically created opening. Soft tissue was serially resected/ablated with ultimate restoration of patency.

Fig 14. Thyroglossal duct cyst in a 2-year-old girl, as seen on frontal (A) and lateral (B) views.

Fig 15. Acutely infected thyroglossal duct cyst in a teenager. This requied incision and drainage prior to definitive Sistrunk procedure. (excision of cyst with tract and middle third of hyoid bone).

Fig 16. Infected right preauricular sinus with abscess in a
young girl.

Fig 17. First Branchial Anomaly. Intraoperative view of Type 1 first branchial anomaly with duplicated cartilage and sinus. This was excised along with small cyst and external canal reconstructed.

Fig 18. Stairstepping horizontal incisions demonstrate characteristic tract of 2nd branchial anomaly as it traverses between the carotid bifurcation, super cial to CN IX and toward the tonsillar fossa.

Fig 19. Cleft palate as seen intraoperatively prior to repair (A) and immediately after repair (B).  

Fig 20. Bilateral cleft lip with prominent primaxilla, prior to repair (A),
and 1 week after repair (B), 

Fig 21. Venolyphatic Malformation in a 10-year-old with bilateral, symmetric, floor of mouth fullness. Imaging and pathology after excision demonstrated combined venous and lymphatic
(venolymphatic) malformation.

Fig 22. Massive Lymphatic Malformation in a 1-day-old new born suprahyoid and infrahyoid space, floor of mouth tongue pharynx, supraglottic larynx, and into mediastinum (A). LM was combined microcystic and macrocystic. Note the tense oor of mouth and tongue
involvement (B), with mouth pushed upwards to palate.

Fig 23. Lymphatic malformation on the right floor of mouth in a 10-year-old child. (A). Tongue is pushed to the right to expose left lateral tongue and oor of mouth. Note bluish discoloration. Intraoperative view (B) of well circumscribed macrocystic LM.

Fig 24. Hypoplastic right hemi-tongue in a infrant with orculoaurricularvertebral (OAVS or Goldenhar syndrome) on superior (A), lateral/oblique (B) and frontal (C) view. Note microtia (underdeveloped pinna), aural atresia, accessory skin tag, along with mastoid tip, malar, maxillary and mandibular hypoplasia in view B and C.

This is only a part of the book : Color Atlas of Pediatrics 1st Edition of authors: Richard P. Usatine, MD; Camille Sabella, MD; Mindy Ann Smith, MD; E.J. Mayeaux, Jr., MD; Heidi S. Chumley, MD and Elumalai Appachi, MD, MRCP (UK). If you want to view the full content of the book and support author. Please buy it here: https://goo.gl/BEp0yD