First Branchial Cleft Anomalies Involving the Tympanic Membrane and Middle Ear

Tom, Lawrence W. C.; Kenealy, J. F. X.; Torsiglieri, Arthur J.

doi:10.1177/019459989110500321

Cited by 26 publications

(11 citation statements)

References 8 publications

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“…The lesion can involve the tympanic membrane as an isolated cyst or pass through the membrane into the middle ear. It may also enter the middle ear directly through the tympanic bone, bypassing both the external canal and tympanic membrane 11 . In our series, there were no ossicular abnormalities or destructive process associated with middle ear involvement.…”

Section: Discussionmentioning

confidence: 43%

“…Middle ear and tympanic membrane. Tympanic membrane and middle ear involvement is unusual, and only occurs with type II branchial cleft anomalies 1,11,17 . There have been few case reports in the literature, and this paper presents the largest series with tympanic membrane or middle ear involvement.…”

Section: Discussionmentioning

confidence: 85%

“…Magnetic resonance imaging should be considered in all patients suspected of having a first branchial cleft anomaly. Magnetic resonance imaging may help identify the extent of the lesion and establish the relationship between the anomaly and the facial nerve 11 . If there is extension into the external canal, tympanic membrane, or middle ear, computed tomography is performed to define the extent of bone involvement.…”

Section: Discussionmentioning

confidence: 99%

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Periauricular Cysts and Sinuses

et al. 1997

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Periauricular cysts, sinuses, and fistulas occur commonly in the pediatric population. They arise from developmental defects of the first branchial cleft and first branchial arch. In most instances the diagnosis and management of these conditions are straightforward, but exceptional presentations sometimes occur. Failure to recognize these unusual cases may result in inadequate treatment and subsequent recurrence, and even if the correct diagnosis is made, surgical management of these lesions may be complicated. A series of 15 cases of periauricular congenital lesions is reviewed, of which three cases illustrating a diagnostic or surgical challenge are presented. The embryology, presentation, and management of these anomalies are discussed. This is one of the largest series of first branchial cleft anomalies reported in the literature, and our paper uniquely discusses first branchial cleft anomalies and preauricular sinuses together, with an emphasis on the surgical management of facial nerve, external ear, and middle ear involvement.

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Section: Discussionmentioning

confidence: 43%

Section: Discussionmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 99%

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Periauricular Cysts and Sinuses

et al. 1997

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“…A duplicated, squamous epithelium-filled, cystic mass surprisingly extended from the external auditory canal to the nasopharynx through the Eustachian tube. Descriptions of communication of the anomalous tract with the nasopharynx are extremely rare in the literature [17][18][19][20][21].…”

Section: Discussionmentioning

confidence: 99%

First branchial cleft fistula presenting with internal opening on the Eustachian tube: Illustrated cases and literature review

Liu

Xue

et al. 2012

International Journal of Pediatric Otorhinolaryngology

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“…In this region, cysts and fistulas usually derive from the first branchial cleft. Due to extension to the external auditory meatus or, rarely the middle ear, anomalies of the first branchial cleft can also cause repeated otorrhea [2,3,8]. We report our experiences in managing an unusual sinus of the styloid process that was the cause of upper neck and ear infections in an adult patient.…”

Section: Introductionmentioning

confidence: 99%

Unusual sinus of the styloid process

Schick¹,

Prescher²,

Brors³

et al. 1998

European Archives of Oto-Rhino-Laryngology

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The case of a 50-year-old man with an unusual sinus of the styloid process is presented. This anomaly caused recurrent otorrhea and repeated neck inflammation. The sinus was identified in the upper part of the styloid process and was resected completely as definitive treatment. Since the styloid process is formed by mesenchymal tissue of the second branchial arch, lack of chondrification and ossification was presumed to be the cause of the sinus found in the patient. In case of direct communication between the styloid process cavity and the middle ear space the term "styloid process recess" is suggested. This recess can act as a possible source for recurrent middle ear infections and neck inflammations.

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First Branchial Cleft Anomalies Involving the Tympanic Membrane and Middle Ear

Cited by 26 publications

References 8 publications

Periauricular Cysts and Sinuses

Periauricular Cysts and Sinuses

First branchial cleft fistula presenting with internal opening on the Eustachian tube: Illustrated cases and literature review

Unusual sinus of the styloid process

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