First Branchial Cleft Anomalies (original) (raw)

Clinical Study of Second Branchial Cleft Anomalies

The Journal of craniofacial surgery, 2018

The objective of this study was to review the clinical characteristics and surgical treatment outcomes of second branchial cleft anomalies, and to evaluate the usefulness and accuracy of preoperative fine-needle aspiration cytology (FNAC) in the diagnosis of branchial cleft cysts. A retrospective chart review was performed at Chonnam National University Hwasun Hospital from January 2010 to December 2016. Among 25 patients with second branchial cleft anomalies, in 23 patients (92.0%), these anomalies presented as cysts, and in the remaining 2 patients (8.0%), these anomalies presented as fistulas. Fine-needle aspiration cytology had a diagnostic sensitivity of 100%, a positive-predictive value of 100%, and accuracy of 100% for diagnosing second branchial cleft cyst. All patients of second branchial cleft anomalies were treated surgically under general anesthesia. No recurrence of second branchial cleft anomalies was observed. Branchial cleft cysts were the most common type of second ...

Presentation of first branchial cleft anomalies: the Sheffield experience

The Journal of Laryngology & Otology, 2006

Abnormalities of the first branchial cleft are rare. They may present with a cutaneous defect in the neck, parotid region, external auditory meatus or peri-auricular area, or with inflammatory or infective lesions at these sites.A retrospective case note review of the patients treated by the senior author is presented. This group consisted of 18 patients and represents the largest published UK series to date. Eleven patients (65 per cent) had undergone incomplete surgery prior to referral.Over half the patients had a clinically apparent lesion in relation to the external auditory meatus. There was a variable relationship between the tract and the facial nerve, which was identified at surgery in 15 cases.These findings are consistent with those of previously published series. Clinicians should keep this diagnosis in mind when assessing patients with infected lesions in the neck and parotid area. Surgeons should be familiar with parotid surgery, in children where appropriate, and be p...

Second Branchial Cleft Anomalies: Analysis of Our Clinical Experience in 10 Years

KBB-Forum: Elektronik Kulak Burun Boğaz ve Baş Boyun Cerrahisi Dergisi, 2020

Purpose: To review clinical features, the tools used in the diagnosis and the results of surgical treatment of second branchial arch anomalies. Material and Methods: The patients diagnosed with branchial cyst or fistula and managed surgically between January 2008 and December 2018 in the otolaryngology department of a tertiary academic center were reviewed retrospectively. Results: The files of 43 cases with second branchial cleft anomaly were examined. Of these, 39 (90.7%) were cysts and 4 (9.3%) were fistulas. The mean age was 24±13(3-66) years. The main complaint was swelling mass at the neck in all cases(100%). 4 (9.3%) had a history of infected cysts. The mean size of the cysts was 3.29±1.94(2-9.5) cm. Fine needle aspiration cytology(FNAC) was performed in 17 (39.53%) of the cases. Atypical cells-suspicion of malignancy was reported at FNAC of 4 (23.5%) cases, and of 13 cases (76.5%) were reported as benign. In our FNAC series, the false positives has a rate of 23.5%. As the most advanced imaging method, ultrasonography (USG), computed tomography(CT) and magnetic resonance imaging (MRI) were performed in 13 (30.3%), 11 (25.5%) and 19 (44.1%) cases respectively. USG only was performed as the most advanced imaging method in 50% of the patients in 2008, however in 2018, 3 (75%) of the cases were evaluated with MRI and 1 (25%) case was evaluated with CT. Surgical excision of the cyst or fistula tract excision under general anesthesia was performed for treatment in all cases. Surgical pathology was consistent with branchial cyst or fistula in all cases. Superficial skin infection occurred in 2 (4.6%) patients in the postoperative period. No recurrence was detected in the follow-up period (0%). Conclusion: CT and MRI for imaging of second branchial cleft anomalies, and FNAC differentiation from other malignant cystic lesions has become more commonly used over the years. Surgical treatment is the treatment of choice for second branchial cleft anomalies. The complication and recurrence rates are very low with appropriate surgical excision.

Management of second branchial cleft anomalies

Romanian journal of morphology and embryology = Revue roumaine de morphologie et embryologie, 2008

Branchial cleft anomalies are developmental disorders of the neck. The aim of this study was to evaluate the data of our patients, who have been diagnosed and treated for second branchial abnormalities in the last six years. We report our clinical experience in second branchial anomalies with a review of the literature. Our study is a retrospective one on a number of 23 patients hospitalized within 2001-2007 in ENT Clinic of Craiova for second branchial abnormalities in relation with age, gender, origin environment, clinical and paraclinical context in which the therapeutic decision was made, surgical procedures, post-surgical evolution. Among the anomalies of the second branchial arch, we encountered 10 (43.47%) patients with branchial cyst and 13 (56.52%) patients with branchial sinus. Twelve (52.17%) of the 23 patients were women and 11 (47.83%) were men; 9 (39.13%) patients were diagnosed and treated within the first age decade, seven (30.43%) within the second age decade, five ...

Presentation of Branchial Cleft Anomalies: Case Reports and Review of Literature

Journal of College of Medical Sciences-Nepal, 2018

Type 2 branchial cleft anomalies are the most common cause of lateral neck swelling. We report two cases of type 2 branchial cleft anomalies. The first case is branchial cleft cyst and the second one is branchial fistula. Both cases were managed surgically. The post operative outcomes were uneventful. Second branchial cleft anomalies are the most common branchial anomalies. Branchial cysts are more common than sinuses and branchial fistulae are extremely rare. There is no gender predilection. The location, clinical symptoms and imaging findings aid in the diagnosis of this condition. Surgical excision is the mainstay of treatment.

Third branchial cleft anomalies

Operative Techniques in Otolaryngology-Head and Neck Surgery, 2017

Third branchial cleft anomalies are rare congenital abnormalities with a complicated anatomical course. The traditional standard of treatment is complete open excision of the entire tract, but newer endoscopic and combined approaches are becoming more common. We summarize the anatomy, presentation, and evaluation of these anomalies. A review of the literature regarding the various surgical options and their associated risks and benefits is discussed. We then review the details of open excision, endoscopic treatment, and combined open or endoscopic surgical options. Given the higher risk of complications with open excision and the similar rates of recurrence with open and endoscopic procedures, we recommend endoscopic management of third branchial cleft anomalies as the first-line treatment.

Incidence and Outcome of Second Branchial Cleft Anomalies: A Three Years Experience and Appreciation

Global Journal of Medical Research, 2020

Background: Second branchial cleft anomalies are remarkable of all other inborn errors of branchial apparatus. As a congenital, it may be presented at birth but usually manifests in early teenagers and young adults. Like all other inborn errors, it is better to correct earlier before suffering from any complications. Methods: It is a cohort retrospective study of 15 cases in the Department of Otolaryngology and Head-Neck Surgery, Cumilla Medical College, and Cumilla Medical Centre, Bangladesh, from 01 July 2016 to 31 June 2019. Results: Incidence of anomalies among routine ENT operations was 0.21%. Of 15, the cyst was 04(26.27%), sinus was 10(66.66%), the fistula was 1(6.67%), children were 09(60%), the adult was 6(40%), and young adult and an early teenager were 07(46.66%), male was 11(75.33%), and females were 04(26.27%), bilateral were 2(13.33%), unilateral was 13(86.67%) in which right was 10(76.33%), and left was 03(23.08%), painful cyst with abscess was 01(6.67%), the painless...

Unusual presentation of a first branchial cleft

Oto-Rhino-Laryngology, 1995

An atypical case of a first branchial cleft presenting with a cutaneous fistula and an epidermoid cyst of the external auditory canal is reported. The relevant embryology of the branchial apparatus is summarized, and variations of first branchial anomalies are discussed. The relationship with a congenital cholesteatoma is discussed.

Branchial Cleft Anomalies: Our clinical experience and literature review

Kocaeli Medical Journal, 2019

Brankial yarık anomalileri embriyolojik gelişimin nadir anomalilerindendir. Fetal gelişim sırasında brankial aparatın gelişiminin tamamlanmamasına bağlı olarak gelişir ve kist, sinüs traktı, fistül veya kıkırdak kalıntısı olarak gözlenebilir. Bu çalışmanın amacı, kliniğimizde opere edilen brankial yarık anomalilerin klinik özelliklerini ve cerrahi tedavi sonuçlarını gözden geçirmektir. YÖNTEM ve GEREÇLER: Brankial yarık anomalisi tanısı alan ve 2007-2017 tarihleri arasında opere olan 62 hasta retrospektif olarak incelendi. Tüm hastaların dosya kayıtları yaş, cinsiyet, klinik prezentasyon, semptomların süresi, tetkikleri, patolojik sonuçları ve takibi açısından incelendi. BULGULAR: Çalışma süresi boyunca kliniğimizde brankial yarık anomalisi tanısı ile tedavi edilen 62 hastanın 40'ı (%64.5) kadın, 22'si(%35.5) erkekti. Ortalama yaş 26.5±12.9 iken en genç hasta 7 en yaşlı hasta 71 yaşındaydı. Hastalarda en sık izlenen başvuru şikayeti 53(%85.5) hastada izlenen boyunda şişlikti. 62 hastadan 20'i (%32.3) birinci, 42'i (%67.7) ikinci brankial yarık anomalisiydi. Üçüncü ve dördüncü brankial yarık anomalisi izlenmedi. TARTIŞMA ve SONUÇ: Baş boyun yapılarının gelişiminde brankial aklar önemli rol oynar. Bu yapıların anormal gelişimi, boyunda kist, sinüs veya fistül gibi ileriki dönemde ortaya çıkan farklı anomalilerin oluşumuna yol açar.Brankial yarık anomalilerinin tedavisi cerrahi eksizyondur.