CT Fistulography and Histopathologic Correlates for Surgical Treatment of Branchial Cleft Sinuses

Thorpe, Ryan K; Policeni, Bruno; Eigsti, Renee L.; Zhan, Xin; Hoffman, Henry T.

doi:10.1177/0145561320933015

Cited by 2 publications

(3 citation statements)

References 9 publications

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“…CT and fistulography introduce radiation exposure, while MRI requires sedation of young patients, making US the most practical option [11]. CT and MRI have both been praised for their ability to visualize sinus tracts, but generally, children are more tolerant of CT imaging [12,13]. US of an FBCC will reveal a homogeneous hypoechogenic cyst.…”

Section: Discussionmentioning

confidence: 99%

First Branchial Cleft Cyst Confined to the Pinna

Alison¹,

Bacon²,

Danziger³

et al. 2023

Cureus

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First branchial cleft cysts (FBCCs) arise due to an incomplete fusion of the cleft between the first and second branchial arches. Classically, they are found inferior to the pinna or along the external auditory canal. This report presents a unique case of a nine-month-old male with a first branchial cleft cyst completely within the pinna. The patient presented with a left auricular pit and pinna mass. Ultrasound revealed a homogeneous hypoechoic mass isolated to the pinna. Surgical resection revealed the cyst to be anterior to the inferior pinna cartilage, with the tract projecting anteriorly and inferiorly. Final pathology revealed a benign cyst lined by squamous epithelium and a rim of cartilage, confirming an FBCC. To our knowledge, FBCCs isolated to the pinna have not been previously reported. Awareness of the various presentations of this rare anomaly is essential for a prompt and accurate diagnosis.

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Section: Discussionmentioning

confidence: 99%

First Branchial Cleft Cyst Confined to the Pinna

Alison¹,

Bacon²,

Danziger³

et al. 2023

Cureus

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“…Sun et al found that CT fistulography and 3D image construction can clearly show the distribution, internal opening, and surrounding structure of congenital branchial cleft fistula and sinus (10). a patient with branchial cleft sinus and found this technique facilitated excellent demonstration of the course and extent of the tract (11). The CT fistulography is also able to demonstrate the type of perianal fistula, its extent, whether it is simple or complex, and the site of internal opening and associated complications (9).…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies have reported the application of computed tomography (CT) and magnetic resonance imaging (MRI) in imaging evaluation of chronic wounds (8)(9)(10)(11)(12); CT scan relay high anatomic detail of chronic wounds and assess surrounding bone destruction (3), and MRI has high resolution and sensitivity to soft tissue without ionizing radiation. It is possible to combine CT and MRI with sinography/fistulography, which allows for visualization of internal features of the sinus/fistula by instilling contrast agent into the external opening (9).…”

Section: Introductionmentioning

confidence: 99%

The application value of computed tomography and magnetic resonance imaging sinography/fistulography in evaluating chronic wounds: a prospective study

Wang

Yakupu

et al. 2021

Ann Palliat Med

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Background: Chronic wounds are a worldwide health problem, with traditional imaging techniques failing in their accurate evaluation. Therefore, an effective imaging evaluation method is needed for the diagnosis and treatment or chronic wounds. This study is to investigate the application value of computed tomography (CT) and magnetic resonance imaging (MRI) sinography/fistulography in assessing the morphology and deep features of chronic wounds. Methods:We prospectively enrolled 43 chronic wounds patients who received both CT and MRI sinography/fistulography. The morphology and deep features of chronic wound on CT and MRI images were independently evaluated by 2 experienced radiologists. Kappa value and intraclass correlation coefficient (ICC) were calculated to evaluate the interobserver agreement and the consistency between CT and MRI sinography/fistulography in assessing the shape, number of branches, and involvement of body cavity and bones of chronic wounds.Results: There were substantial to almost perfect interobserver agreements for both CT and MRI sinography/fistulography in evaluating the morphology and deep features of chronic wounds. The consistency between CT and MRI was almost perfect for the 2 readers in evaluating the shape (reader 1, kappa value =1.000; reader 2, kappa value =0.932) and the number of branches [reader 1, ICC =0.951 (95% confidence interval: 0.909-0.973, P<0.001); reader 2, ICC =0.874 (95% confidence interval: 0.768-0.932, P<0.001)], and substantial to almost perfect when evaluating the involvement of body cavity (reader 1, kappa value =0.728; reader 2, kappa value =0.775) and bones (reader 1, kappa value =0.659; reader 2, kappa value =0.860).Conclusions: There was good interobserver agreement and consistency between CT and MRI sinography/ fistulography in evaluating the morphology and deep features of chronic wounds.

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CT Fistulography and Histopathologic Correlates for Surgical Treatment of Branchial Cleft Sinuses

Cited by 2 publications

References 9 publications

First Branchial Cleft Cyst Confined to the Pinna

First Branchial Cleft Cyst Confined to the Pinna

The application value of computed tomography and magnetic resonance imaging sinography/fistulography in evaluating chronic wounds: a prospective study

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