An unusual localization of a bronchogenic cyst:

Cervical region–—A case report

Adnan Narcı a,*, Onder Sahin b, Tolga Altug Sen c,Evrim Ozkaraca a, Salih Cetinkursun a

1894

a Department of Pediatric Surgery, UniversityFaculty of Medicine, Afyonkarahisar Kocatepe03200, TurkeybDepartment of Pathology, University Faculty ofMedicine, Afyonkarahisar Kocatepe 03200, TurkeycDepartment of Pediatrics, University Faculty ofMedicine, Afyonkarahisar Kocatepe 03200, Turkey

Objective: In that report, we present an unusuallocalization of a bronchogenic cyst which was thelow anterior cervical region.Methods: A 4 years oldgirl admitted to our clinic with a mass located inthe low anterior cervical region. In physical exam-ination, there was a 3 cm � 3 cm, painless, semi-mobile mass in cervical region. Results: Surgicalintervention revealed a 3 cm � 3 cm, multilocularinfectious fluid filled cyst that was appeared as anabscess. Histopathological diagnosis was broncho-genic cyst. Conclusions: Although the incidenceof a bronchogenic cyst is rare, it must be consid-ered in the differential diagnosis of the cervicalmasses.

doi:10.1016/j.ijporl.2008.06.023

A frightening bronchial foreign body

P. Pace-Asciak *, E. Chang, J.P. Ludemann

The Division of Otolaryngology, British Columbia’sChildren’s Hospital, The University of BritishColumbia, 4480 Oak street, Vancouver, BritishColumbia, Canada V6H-3V4

We report our experience, not previously reportedin the literature, with a youngmale JehovahWitnesswho aspirated a metal button backing into his rightbronchus intermedius. While in the operating room,a size 5, 30 cm Storz rigid ventilating bronchoscopewith a 0 degrees rod lens telescope was passedthrough the larynx to visualize the bronchus inter-medius. Then, using the ‘‘duckbill’’ telescopic alli-gator forceps, the sharp edges of the foreign bodywere grasped and removed. The patient recoveredwell and was discharged home hours after withoutany complications.

doi:10.1016/j.ijporl.2008.06.024

A new method to solve an old problem:

Extraction of a sharp foreign body from thelateral basal part of the bronchial tree ofa child

F.R. Datema *, J. Borgstein

Abstracts

Department of Pediatric Otorhinolaryngology,Erasmus Medical Centre, Sophia Children’sHospital, Polikliniek KNO, P.O. Box 2040, 3000CA, Rotterdam, The Netherlands

This paper describes a novel method for the removalof a needle aspirated into the basal part of the rightbronchial tree of a 14-year-old girl, where due tothe distal location, earlier attempts at extractionhad been unsuccessful.

With careful advanced planning creative model-ling, and the assistance of our medical engineer, amodified method was developed that allowed suc-cessful extraction in cooperation with the pulmon-ary physician, thereby obviating the need for apossible thoracotomy and lobectomy.

doi:10.1016/j.ijporl.2008.06.025

Endoscopic endonasal excision of congenitalmidline meningoencephalocele in a 5-monthinfant

Omar A. El-Banhawy a,*, Ahmed N. Halaka b

a El Hekma Hospital for neurosurgery, El Mansoura,Egyptb El-Menoufiya University, ENT Department,Borg El-Ula, 7th floor, El-Mansoura, Egypt

Congenital infantile midline nasal meningoence-phaloceles are rare anomalies. A 5-month-oldEgyptian boy otherwise healthy presented withhistory of respiratory distress, difficulty in oralfeeding and appearance of a mass in right nostril.The CTscan showed soft tissue density lesion fillingthe right nasal fossa with small bony defect in themost anterior part of anterior cranial fossa adja-cent to right side of the crista galli suggestingmeningoencephalocele. MRI showed the same masscriteria as on CT with fluid signal intensity. Thelesion was approached and removed endonasallyunder general anesthesia with the use of differentangles endoscopes. The mucoperiostium coveringthe posterior two third of the ipsilateral inferiornasal turbinate was harvested and used for repair