“…Reports in the literature suggest that the anomaly is superficial to the facial nerve in the majority of cases. 5,6,[13][14][15][16][17] In our series, of the 5 sinuses, 3 were deep to the facial nerve and 2 were superficial. Of the 2 cysts, 1 was deep and 1 was superficial to the inferior division and deep to the superior division of the facial nerve.…”
Section: Relationship Of the Lesion To The Facial Nervementioning
The successful treatment of branchial cleft anomalies requires a complete resection. A safe complete resection requires a full exposure of the facial nerve, as the lesions can be variably associated with the nerve.
“…Reports in the literature suggest that the anomaly is superficial to the facial nerve in the majority of cases. 5,6,[13][14][15][16][17] In our series, of the 5 sinuses, 3 were deep to the facial nerve and 2 were superficial. Of the 2 cysts, 1 was deep and 1 was superficial to the inferior division and deep to the superior division of the facial nerve.…”
Section: Relationship Of the Lesion To The Facial Nervementioning
The successful treatment of branchial cleft anomalies requires a complete resection. A safe complete resection requires a full exposure of the facial nerve, as the lesions can be variably associated with the nerve.
“…This tract was successfully and completely removed by a simple exploration, without encountering the facial nerve, although a close association has been reported and formal exposure of the nerve suggested (Crymble and Braithwaite, 1964;Work and Proctor, 1963;Kaneko et al, 1974).…”
“…They extend into the parotid gland and may lie deep or superficial to the facial nerve; or may even lie between the branches of the facial nerve. 5 The lining of these lesions comprises skin and cartilage and represents a duplication anomaly of the cartilaginous car canal. Unlike type 1, these lesions usually communicate with the external auditory mcatus and may have a fistulous tract; they are commonly seen in young children.…”
SUMMARYFirst branchial groove anomalies are very rare. We report a case of a first branchial groove anomaly presented as an infected cyst in an 11‐month‐old child. Management of such lesions is complicated because of their close association with the facial nerve. Surgical management must include identification and protection of the facial nerve. Embryology and facial nerve disposition in relation to the anomaly are reviewed. (Int J Clin Pract 2000; 54(5): 342‐344)
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