Vol. 4, Issue 4 (2019)
Bronchogenic CYST of the tongue in child diagnostic difficulties and role of surgery in the treatment (about 2 cases)
Author(s): Mounir Kisra, Khir Allah Hanaa, Aiat Allah Skiredj, Fatim Zahra Ezzaky, Sara Hosni
Abstract: Our study aims to show essentially the difficulties of diagnostic of bronchogenic cyst of the tongue in child, as well as the place of surgery in the diagnosis and treatment of these cystic masses. We report the cases of two children with bronchogenic cyst, treated in the Pediatric Surgery Department of the Children’s Hospital in Rabat. A 6-month-old girl and a newborn at j 5, both admitted for feeding difficulties. The clinical exam of the tongue finds a cystic lesion. The imaging examination demonstrated the fluid nature of the mass, and allowed to analyze the reports of the cyst. The patients were operated. The postoperative follow up was simple. The long-term evolution was satisfactory, with no sign of recurrence or complication. Histological examination concluded on bronchogenic cyst characterized, showing respiratory epithelium. The absence of any clinical or radiological specificity of the bronchogenic cyst, only histology can certify the diagnosis, based on the demonstration of a respiratory epithelium associated with elements of the tracheal bronchus tracts. The treatment of the bronchogenic cyst is surgical. The prognosis is mainly conditioned by the quality of the excision, which must be complete. The Immediat and long term follow up must always be in place.