Congenital thyroid cyst of ultimobranchial gland origin

Roediger, W. E. W.; Kalk, F.; Spitz, Lewis; Schmaman, A

doi:10.1016/0022-3468(77)90200-7

Cited by 24 publications

(11 citation statements)

References 2 publications

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“…Recurrent acute suppurative thyroiditis due to persistent pyriform sinus-thyroid fistula is likely more common than previously believed and usually becomes symptomatic before age 10. We suggest that clinicians should suspect this disorder whenever an inflammatory process or abscess is present in the lower neck, especially when recurrent and on the left side.…”

Section: Resultsmentioning

confidence: 85%

“…The neck mass presents as acute suppurative thyroiditis in 67% of cases (3-7, 9, 10, 14 -16, 19, 20, 22, 24, 25, 29 -33, 35, 36, 39), the remainder either a lateral neck mass or a cervical fistula. Ninety-two percent of cases involve the left thyroid lobe (2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18), 6% the right lobe (8, 18, 20 -23), and 2% are bilateral (25,26). The left-sided predominance may be due to embryological asymmetry of the transformation of the fourth branchial arch to form the aortic and innominate arteries (41) or to poor development of the ultimobrachial body on the right side of the embryo (42).…”

Section: Clinical Findingsmentioning

confidence: 99%

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Recurrent Acute Suppurative Thyroiditis in an Adult Due to a Fourth Branchial Pouch Fistula

Cases¹,

Wenig

Silver

et al. 2000

The Journal of Clinical Endocrinology &Amp; Metabolism

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Section: Resultsmentioning

confidence: 85%

Section: Clinical Findingsmentioning

confidence: 99%

Recurrent Acute Suppurative Thyroiditis in an Adult Due to a Fourth Branchial Pouch Fistula

Cases¹,

Wenig

Silver

et al. 2000

The Journal of Clinical Endocrinology &Amp; Metabolism

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“…Most reported cases of fourth branchial anomalies are fourth branchial pouch sinuses. The predominance of fourth branchial pouch sinus on the left side is not clearly explained but could be because of either asymmetrical derivatives of the fourth branchial arch [10] or suppressed embryogenesis of the ultimobranchial body on the right [11].…”

Section: Discussionmentioning

confidence: 93%

Various presentations of fourth branchial pouch sinus tract during surgery

Feng

Sang

et al. 2012

Acta Oto-Laryngologica

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Six patients presented with recurrent neck abscess, two presented with acute suppurative thyroiditis. All patients had barium swallow and sinus tract was delineated in six cases. All eight patients underwent surgical excision of the sinus tract. Three different emerging pathways of the sinus tract were identified during surgery. The tract could penetrate the thyroid cartilage near the inferior horn, the inferior pharyngeal constrictor muscle or the cricothyroid membrane when it emerged from the larynx. The recurrent laryngeal nerve was commonly dissected to avoid inadvertent damage. Hemithyroidectomy was performed in six patients. All eight are currently asymptomatic.

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“…Others propose their origin from the thymopharyngeal duct [5] or lymphoid epithelium [6,7]. Left-sided predominance could be because of either asymmetrical derivatives of the fourth branchial arch on the left [8] or suppressed embryogenesis of the ultimobranchial body on the right [9]. However, right-sided cysts in older patients could represent delayed manifestation of dormant lesions [2].…”

Section: Discussionmentioning

confidence: 97%