Head and neck teratomas in children--A series of 23 cases at Great Ormond Street Hospital.

Objective: Head and neck teratomas are rare and malignant change is rarer still. This is a report detailing all of the teratomas treated by the ear, nose and throat or craniofacial teams over the last 28 years at our institution. Examining the common presenting and radiological features as well as our success rates compared to the current literature.

Primary cervical ganglioneuroblastoma.

Objectives: Ganglioneuroblastomas represent a histological subgroup of the rare neuroblastic tumours with intermediate malignant potential arising from neural crest progenitor cells of sympathetic nerves. Diagnosis can often be difficult based on imaging alone. We describe 4 cases of children presenting with a solitary neck mass with histology ultimately revealing ganglioneuroblastoma.

The clinical application of electrolaryngography in a tertiary children's hospital.

The assessment and management of children's voice disorders poses clinical challenges at many levels. Accurate diagnosis and treatment requires access to a range of tools and methods appropriate for use with paediatrics. The application of electrolaryngography to the management of children's voice disorders in a tertiary children's hospital is described, with examples drawn from four case studies.

Multimodality treatment of pediatric lymphatic malformations of the head and neck using surgery and sclerotherapy.

Objectives: To describe a multimodality approach to the management of pediatric head and neck lymphatic malformations using surgery, sclerotherapy, or both and to review the outcomes of these approaches.

Design: Retrospective case series.

Setting: A single pediatric tertiary care referral center.

Midline cervical cleft: a rare congenital anomaly.

Objectives: A midline cervical cleft (MCC) is a rare congenital anomaly due to failure of fusion of the first and second branchial arches during embryogenesis. It may present as a midline defect of the anterior neck skin with a skin projection or sinus, or as a subcutaneous fibrous cord. This report evaluates the clinical features and surgical management of an MCC.

Angiosarcoma of skull base in a 1-year-old child--a case report.

Angiosarcoma is a rare tumour of endothelial cell origin whilst malignant skull base tumours are highly unusual in paediatric patients. This case reports an angiosarcoma involving the clivus and basi-sphenoid region of the skull base, in a 1-year-old boy. This tumour is extremely rare in childhood, particularly in this site.

Slide tracheoplasty.

Purpose Of Review: The current practice of slide tracheoplasty for children with long-segment tracheal stenosis is reviewed.

Recent Findings: In our own series, the mortality for children with long-segment tracheal stenosis managed by slide tracheoplasty in the 5-year period between 1995 and 2000 was 43% (3/7), consistent with other series in the literature. In 2001, we developed a multidisciplinary approach with aggressive postoperative surveillance, intermittent balloon dilatation and selective stenting for salvage.

Excision of nasal dermoids with intracranial extension - anterior small window craniotomy approach.

Objective: Dermoid cysts are the most common midline congenital nasal masses and may extend intracranially. They commonly become infected, may distort nasal growth, and are cosmetically unacceptable. The treatment of nasal dermoids is complete surgical excision.

Glottic scar bands following intubation.

We present two uncommon cases of abnormalities of the pediatric airway, which may present in the first instance to the anesthetist. Glottic scar bands are a result of intubation trauma and are a treatable cause of voice abnormalities and sometimes respiratory distress.

Open excision of subglottic hemangiomas to avoid tracheostomy.

Objective: To assess the efficacy of open excision as an alternative to tracheostomy in the management of subglottic hemangioma.

Design: A retrospective review of patients undergoing open surgical excision of subglottic hemangiomas over a 10-year period.

Setting: A tertiary pediatric center.

Laryngotracheal reconstruction in congenital laryngeal webs and atresias.

Objective: To review the role of open laryngotracheal reconstruction (LTR) in congenital laryngeal webs and atresias.

Study Design And Setting: A retrospective chart review was undertaken in a specialist otorhinolaryngology unit in an academic tertiary referral paediatric hospital. Twenty-one patients with congenital laryngeal subglottic stenosis (SGS) underwent LTR between 1993 and 2003.