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Pediatric Nasopharyngeal Cysts Differential Diagnosis and Management

Pediatric Nasopharyngeal Cysts Differential Diagnosis and Management. Tal Marom *, Eyal Russo*, Douraied Ben Salem ψ , Yehudah Roth* , φ * Department of Otolaryngology-Head and Neck Surgery, Edith Wolfson Medical Center, Tel-Aviv University, Sackler School of Medicine, Holon, Israel

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Pediatric Nasopharyngeal Cysts Differential Diagnosis and Management

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  1. Pediatric Nasopharyngeal CystsDifferential Diagnosis and Management Tal Marom*, Eyal Russo*, Douraied Ben Salemψ, Yehudah Roth*,φ * Department of Otolaryngology-Head and Neck Surgery, Edith Wolfson Medical Center, Tel-Aviv University, Sackler School of Medicine, Holon, Israel ψ Department of Neuroradiology, University Hospital of Dijon, France φ Dalla Lana School of Public health, University of Toronto, Ontario, Canada No potential conflicts of interests

  2. Nasopharygoscopy • Flexible bronchoscopy • Adenoidectomy • H&N imaging studies Incidental Findings

  3. 12 y/o male with epiphora Retention cyst of a seromucinous gland

  4. 8 y/o boy with hypogonadism Persistent hypophyseal (Sternberg) canal

  5. 11 y/o girl with left CHL Retention cyst obstructive the eustachian tube

  6. 7 y/o girl with incidental finding Tornwaldt’s cyst

  7. 4 y/o girl with visual acuity deterioration Rathke’s cleft cyst Courtesy: Dr. R. Buhl, Department of Neurosurgery, Kiel, Germany

  8. 4 y/o girl with progressive nasal obstruction CT Intra-Op Pathology Teratoma

  9. 4 y/o boy with rhinorrhea 2nd Branchial cyst

  10. 1.5 y/o girl with reddish EAC lesion 1st Branchial cyst Courtesy: Dr. M. Ada, Cerrahpas Medical Faculty, Istanbul, Turkey

  11. Nasopharyngeal extension of encephalocele 1.5 y/o boy with recurrent epistaxis Courtesy: Dr. S. Durry, Department of Radiology, Toronto Hospital for Sick Children, Canada

  12. 5 y/o girl: incidental finding Intra-adenoid cyst

  13. 12 y/o girl: incidental finding Lateral (retention) cyst

  14. 13 y/o boy with chronic cough (bronchoscopy) Pedunculated nasopharyngeal lateral cyst

  15. Congenital teratoma, scheduled for EXIT Female embryo, 34th week, polyhydarmnios, fMRI Courtesy: Dr. S.S. Peng, Department of Obstetrics and Gynecology, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan

  16. Nasopharyngeal cysts are rare • Presentation depends on size, location and nearby tissues • Biopsy may not be necessary in most cases Summary

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