Nasopharyngeal Branchial Cysts—Diagnosis and Management: A Case Series

Flis, Daniel W.; Wein, Richard O.

doi:10.1055/s-0032-1331020

Cited by 8 publications

(15 citation statements)

References 7 publications

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“…Mucus retention cysts are differentiated from Tornwaldt cysts in that they arise superficial to the pharyngobasilar fascia. 9 Although they can be located in the same area, neither Tornwaldt cysts nor mucus retention cysts would be shown to communicate with the spine as in this case. Bronchogenic cysts, although commonly found in the mediastinum, have also been dem-…”

mentioning

confidence: 56%

Dysphagia and Pharyngeal Cyst

Buck

Farmer

Stringer

2020

JAMA Otolaryngol Head Neck Surg

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A 73-year-old woman with a history of chronic cervical neck pain presented with complaints of globus sensation, dysphagia, and localized throat swelling. On examination, she had an approximately 1.5-cm mucosally covered mass on her left lateral pharyngeal wall that was cystlike in appearance. The remainder of her examination findings were normal. The patient reported that this cyst had been drained 2 years before with resolution of her symptoms. Contrasted computed tomographic (CT) imaging of her head and neck was obtained, which revealed a pharyngeal cyst that extended to the atlantoaxial joint (Figure , A). Further magnetic resonance imaging (MRI) of the area was obtained, which demonstrated communication of the cyst with the atlantoaxial joint (Figure , B and C). Diagnosis A. Juxtafacet cyst DiscussionSymptomatic juxtafacet cysts, or synovial cysts, of the spine are rare. They are usually located in the lumbar spine, with the cervical spine less commonly affected. The cyst typically has an extradural intraspinal extension arising from the facet joint, in this case, the atlantoaxial joint. These lesions are associated with other spinal conditions, such as osteoarthritis, spondylolisthesis, and disk degeneration. 1,2 Depending on the location and size of the lesions, juxtafacet cysts of the cervical spine have been associated with upper extremity radiculopathy, myelopathy, and neck and shoulder pain. 3 Rarely, do they present as pharyngeal masses causing dysphagia or globus sensation. 4,5 The first description of spinal juxtafacet cysts appeared in Kao et al 4 in 1968. They are described equally among men and women, most commonly in the fifth or sixth decade of life. 5 The pathogenesis for formation of these cysts remains poorly understood. One

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confidence: 56%

Dysphagia and Pharyngeal Cyst

Buck

Farmer

Stringer

2020

JAMA Otolaryngol Head Neck Surg

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“…По мнению авторов, эти методы менее травматичны, а также позволяют сократить время операции, количество осложнений и сроки пребывания пациента в стационаре в послеоперационном периоде. При этом авторы не зафиксировали случаи рецидива кист за период наблюдения (до 4 лет) [7].…”

Section: лечениеunclassified

“…Выделяют четыре основных локализации бранхиогенных кист: грудиноключично-сосцевидная мышца, внутренняя яремная вена, наружная яремная вена и глотка. Гистологически в стенках образований определяется лимфоцитарная инфильтрация и образование лимфоидных фолликулов, cтенки выстланы плоским эпителием [7]. На КТизображениях кисты имеют низкую интенсивность сигнала.…”

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“…МРТ демонстрирует области с сигналом пониженной и повышенной интенсивности на изображениях в Т1-и Т2-взвешенных режимах соответственно. При контрастировании с гадолинием накопления контраста не происходит [7,8].…”

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Differential diagnostics and the treatment strategy for the management of the nasopharyngeal cystic lesions

Tsarapkin

Tovmasyan

et al. 2017

Vestn. otorinolaringol.

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The nasopharyngeal cystic lesions are quite common (affecting up to 14% of the general population) even though the majority of the cases are asymptomatic. Sometimes this condition is associated with the obstruction of nasal breathing, runny nose, hearing impairment, and other non-specific clinical manifestations. The endoscopic examination of the nasal cavity allows the preliminary clinical diagnosis to be established, however, MRI and CT visualization are necessary for more reliable differential diagnostics of this pathology and adequate planning of its treatment. The nasopharyngeal cysts require the surgical treatment, with endoscopic transnasal marsupialization in the combination with coblation, radiowave or laser irradiation being the main currently available option.

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“…However, the specific site in the nasopharynx can provide helpful clues [2].Cysts arising from the nasopharynxmay be midline or lateral based on their natural origin [3]. Differing from Tornwaldt cysts, nasopharyngeal branchialcysts present laterally and arise from the fossa of Rosenmuller and may track superiorly within the bony confines of the Eustachian tube [4].Embryogenic cysts of the pharyngeal bursa and Rathke's pouch are usually located in the midline [2].…”

Section: Introductionmentioning

confidence: 99%

Hypoplasia of the maxillary, sphenoid and frontal sinus in the patient with nasopharyngeal branchial cyst: Case Repor

Ghazizade¹,

Asadi²,

Darbani³

2016

J Res Med Den Sci

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Cystic lesions of the nasopharynx are typically benign and often found incidentally. The authors report a case of nasopharyngeal branchial cyst in a patient with hypoplastic maxillary, sphenoid and frontal sinuses. The patient underwent transnasal endoscopic resection of the cyst.Results showed that in the management of nasopharyngeal branchial cyst it is important to clarify the anatomic details of the paranasal sinuses with Computed tomography (CT) scan respect to correct diagnosis and appropriate surgical planning. Nasopharyngeal branchial cysts and paranasal sinus hypoplasia may have the same developmental cause.

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Nasopharyngeal Branchial Cysts—Diagnosis and Management: A Case Series

Cited by 8 publications

References 7 publications

Dysphagia and Pharyngeal Cyst

Dysphagia and Pharyngeal Cyst

Differential diagnostics and the treatment strategy for the management of the nasopharyngeal cystic lesions

Hypoplasia of the maxillary, sphenoid and frontal sinus in the patient with nasopharyngeal branchial cyst: Case Repor

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